Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $41.04 / $50.13	Facility		$21.89	$41.04	$50.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $20.05 / $107.45	Professional		$12.53	$20.05	$107.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $110.68 / $179.70	Facility		$30.08	$110.68	$179.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $13.67 / $15.71	Professional		$10.25	$13.67	$15.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $10.86 / $10.86	Facility		$10.86	$10.86	$10.86
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 $9.19 / $9.19 / $9.19	Professional		$9.19	$9.19	$9.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $20.05 / $32.69	Facility		$14.89	$20.05	$32.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.71 / $31.57	Professional		$16.71	$16.71	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.02 / $10.25	Professional		$7.02	$10.02	$10.25