Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $24.20 / $48.39	Facility		$12.10	$24.20	$48.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $19.36 / $103.72	Professional		$12.10	$19.36	$103.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $106.87 / $173.51	Facility		$29.04	$106.87	$173.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $13.19 / $15.16	Professional		$8.57	$13.19	$15.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $10.48 / $10.48	Facility		$10.48	$10.48	$10.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $18.59 / $30.09	Professional		$10.13	$18.59	$30.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $8.86	Professional		$8.86	$8.86	$8.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $19.36 / $31.53	Facility		$14.36	$19.36	$31.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.13 / $30.09	Professional		$16.13	$16.13	$30.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.68 / $9.88	Professional		$6.77	$9.68	$9.88