Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $1,280.59 / $1,280.59	Facility		$50.01	$1,280.59	$1,280.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $20.00 / $107.19	Professional		$12.50	$20.00	$107.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $104.52 / $174.03	Facility		$43.30	$104.52	$174.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.64 / $15.67	Professional		$10.23	$13.64	$15.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Facility		$10.84	$10.84	$10.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $19.41 / $31.57	Professional		$10.44	$19.41	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $9.17	Professional		$9.17	$9.17	$9.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $20.00 / $32.61	Facility		$14.85	$20.00	$32.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $16.67 / $31.57	Professional		$16.67	$16.67	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $9.92 / $10.22	Professional		$7.00	$9.92	$10.22