Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $28.12 / $104.00	Facility		$28.12	$28.12	$104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $13.86 / $74.27	Professional		$8.66	$13.86	$74.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $71.98 / $124.22	Facility		$20.79	$71.98	$124.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $9.44 / $10.86	Professional		$7.09	$9.44	$10.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.51 / $7.51 / $7.51	Facility		$7.51	$7.51	$7.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $13.22 / $21.70	Professional		$7.32	$13.22	$21.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $6.35	Professional		$6.35	$6.35	$6.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $13.86 / $22.58	Facility		$10.29	$13.86	$22.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $21.70	Professional		$11.55	$11.55	$21.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.93 / $7.08	Professional		$4.84	$6.93	$7.08