Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $52.48 / $123.03	Facility		$19.05	$52.48	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $19.05	Professional		$12.02	$14.45	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $104.71 / $169.82	Facility		$47.86	$104.71	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $14.79	Professional		$9.77	$12.88	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $30.20	Professional		$10.00	$18.20	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.38 / $27.54	Facility		$14.13	$17.38	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.55 / $39.81	Professional		$10.00	$24.55	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $14.45	Facility		$11.75	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $15.85	Professional		$9.55	$13.18	$15.85