Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $41.04 / $51.36	Facility		$41.04	$41.04	$51.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $20.54 / $110.08	Professional		$12.84	$20.54	$110.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $113.38 / $184.09	Facility		$30.81	$113.38	$184.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.00 / $16.09	Professional		$10.50	$14.00	$16.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $11.13 / $11.13	Facility		$11.13	$11.13	$11.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $19.82 / $32.06	Professional		$10.75	$19.82	$32.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.42 / $9.42	Professional		$9.42	$9.42	$9.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $20.54 / $33.52	Facility		$15.26	$20.54	$33.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $17.12 / $32.06	Professional		$17.12	$17.12	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.19 / $10.50	Professional		$7.19	$10.19	$10.50