Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.01 / $56.04 / $96.24	Facility		$14.01	$56.04	$96.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $22.42 / $120.11	Professional		$14.01	$22.42	$120.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $117.17 / $200.94	Facility		$33.63	$117.17	$200.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $15.28 / $17.55	Professional		$11.46	$15.28	$17.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $21.48 / $35.02	Professional		$11.84	$21.48	$35.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $22.42 / $36.54	Facility		$16.64	$22.42	$36.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $18.68 / $35.02	Professional		$18.68	$18.68	$35.02
United Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $16.80	Facility		$16.80	$16.80	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $11.12 / $11.46	Professional		$7.85	$11.12	$11.46