Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $41.04 / $41.04	Facility		$41.04	$41.04	$41.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $19.69 / $108.47	Professional		$12.65	$19.69	$108.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $90.01 / $151.19	Facility		$25.30	$90.01	$151.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $13.80 / $15.86	Professional		$10.35	$13.80	$15.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $10.97 / $10.97	Facility		$10.97	$10.97	$10.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $19.41 / $31.57	Professional		$10.60	$19.41	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $20.23 / $33.00	Facility		$10.97	$20.23	$33.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $16.87 / $31.57	Professional		$16.87	$16.87	$31.57
United Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $16.87 / $16.87	Facility		$16.87	$16.87	$16.87
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.02 / $10.34	Professional		$7.09	$10.02	$10.34