Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $25.13 / $50.25	Facility		$12.56	$25.13	$50.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $20.10 / $107.70	Professional		$12.56	$20.10	$107.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $92.46 / $150.12	Facility		$25.13	$92.46	$150.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Facility		$10.89	$10.89	$10.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $19.41 / $31.57	Professional		$10.60	$19.41	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $9.21 / $9.21	Professional		$9.21	$9.21	$9.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $20.10 / $32.77	Facility		$14.92	$20.10	$32.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $31.57	Professional		$16.75	$16.75	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.96 / $10.27	Professional		$7.04	$9.96	$10.27