Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $52.95 / $64.80	Facility		$13.24	$52.95	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $21.18 / $113.49	Professional		$13.24	$21.18	$113.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $113.01 / $189.83	Facility		$31.77	$113.01	$189.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $14.44 / $16.59	Professional		$10.83	$14.44	$16.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $11.47	Facility		$11.47	$11.47	$11.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $20.65 / $32.56	Professional		$10.91	$20.65	$32.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $21.18 / $33.88	Facility		$15.42	$21.18	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $32.56	Professional		$17.64	$17.64	$32.56
United Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Facility		$17.64	$17.64	$17.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.24 / $10.62	Professional		$7.41	$10.24	$10.62