Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $24.68 / $49.35	Facility		$12.34	$24.68	$49.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $19.73 / $105.77	Professional		$12.34	$19.73	$105.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $108.96 / $176.92	Facility		$29.61	$108.96	$176.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.46 / $15.46	Professional		$8.75	$13.46	$15.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Facility		$10.69	$10.69	$10.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $19.00 / $31.08	Professional		$10.28	$19.00	$31.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $19.73 / $32.20	Facility		$14.66	$19.73	$32.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $31.08	Professional		$16.45	$16.45	$31.08
United Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $14.81 / $14.81	Facility		$14.81	$14.81	$14.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.78 / $10.10	Professional		$6.91	$9.78	$10.10