Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.11 / $81.28	Facility		$16.98	$33.11	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $21.88	Professional		$12.02	$13.49	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $120.23 / $199.53	Facility		$48.98	$120.23	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $17.38	Professional		$10.00	$15.14	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.89 / $26.92	Professional		$8.51	$20.89	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.05 / $23.99	Facility		$12.30	$19.05	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.89 / $33.88	Professional		$8.51	$20.89	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $11.22	Professional		$7.76	$7.76	$11.22