Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.57 / $50.28 / $65.94	Facility		$12.57	$50.28	$65.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $17.60 / $20.11	Professional		$13.44	$17.60	$20.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $110.61 / $180.24	Facility		$30.16	$110.61	$180.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.71 / $15.75	Professional		$10.28	$13.71	$15.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Facility		$10.89	$10.89	$10.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $19.41 / $28.12	Professional		$9.51	$19.41	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Professional		$9.22	$9.22	$9.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $20.11 / $29.48	Facility		$13.43	$20.11	$29.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $16.76 / $28.12	Professional		$16.01	$16.76	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.81 / $16.76	Professional		$10.06	$12.81	$16.76