Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.37 / $24.74 / $49.47	Facility		$12.37	$24.74	$49.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $19.79 / $106.03	Professional		$12.37	$19.79	$106.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $91.02 / $147.79	Facility		$24.73	$91.02	$147.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $15.50	Professional		$13.49	$13.49	$15.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $19.00 / $26.14	Professional		$8.73	$19.00	$26.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.25 / $19.37 / $27.12	Facility		$8.25	$19.37	$27.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $16.48 / $26.14	Professional		$14.72	$16.48	$26.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $8.19 / $9.89	Professional		$6.93	$8.19	$9.89