Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $27.96 / $55.92	Facility		$13.98	$27.96	$55.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $22.37 / $22.37	Professional		$13.98	$22.37	$22.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $100.56 / $167.06	Facility		$27.96	$100.56	$167.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.25 / $17.52	Professional		$9.91	$15.25	$17.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Facility		$12.12	$12.12	$12.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $21.48 / $26.85	Professional		$9.55	$21.48	$26.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $18.64 / $18.64	Professional		$10.25	$18.64	$18.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $17.71 / $22.37	Facility		$9.69	$17.71	$22.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.28 / $18.64	Professional		$9.55	$15.28	$18.64
United Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $16.78 / $16.78	Facility		$16.78	$16.78	$16.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $11.18	Professional		$7.83	$7.83	$11.18