Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $33.44 / $80.75	Facility		$17.00	$33.44	$80.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.47 / $25.59	Professional		$13.48	$15.47	$25.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $118.25 / $200.49	Facility		$33.54	$118.25	$200.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $15.25 / $17.52	Professional		$10.46	$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 $8.57 / $21.48 / $26.85	Professional		$8.57	$21.48	$26.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $10.25	Professional		$10.25	$10.25	$10.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $19.13 / $26.78	Facility		$12.19	$19.13	$26.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $18.64 / $25.65	Professional		$14.55	$18.64	$25.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $11.18	Professional		$7.83	$7.83	$11.18