Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $21.10 / $42.21	Facility		$10.55	$21.10	$42.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $16.88 / $90.47	Professional		$10.55	$16.88	$90.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $73.53 / $126.10	Facility		$21.11	$73.53	$126.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $9.15 / $9.15	Facility		$9.15	$9.15	$9.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $11.35 / $20.13	Professional		$3.74	$11.35	$20.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $7.74	Professional		$7.74	$7.74	$7.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $9.30 / $15.48	Facility		$5.34	$9.30	$15.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $14.07 / $14.07	Professional		$5.54	$14.07	$14.07
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $3.68 / $8.44	Professional		$3.46	$3.68	$8.44