Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $50.40 / $50.40	Facility		$12.60	$50.40	$50.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $20.16 / $108.02	Professional		$12.60	$20.16	$108.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $111.28 / $180.68	Facility		$30.24	$111.28	$180.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $13.74 / $15.79	Professional		$10.31	$13.74	$15.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
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 $9.24 / $9.24 / $9.24	Professional		$9.24	$9.24	$9.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $20.16 / $32.86	Facility		$14.96	$20.16	$32.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $31.57	Professional		$16.80	$16.80	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $10.30	Professional		$7.06	$10.08	$10.30