Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $28.12 / $28.12	Facility		$28.12	$28.12	$28.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.36 / $98.38	Professional		$11.48	$18.36	$98.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $97.96 / $164.55	Facility		$27.54	$97.96	$164.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.52 / $14.38	Professional		$8.75	$12.52	$14.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $17.35 / $21.70	Professional		$7.17	$17.35	$21.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $16.01 / $22.41	Facility		$10.19	$16.01	$22.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $15.30 / $21.70	Professional		$12.17	$15.30	$21.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.81 / $9.18	Professional		$6.43	$6.81	$9.18