Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $169.82	Facility		$44.67	$57.54	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $31.62	Professional		$11.75	$15.85	$31.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $120.23 / $194.98	Facility		$46.77	$120.23	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.79 / $16.98	Professional		$9.55	$14.79	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.42 / $33.88	Professional		$11.48	$20.42	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $31.62	Facility		$16.22	$21.88	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $27.54 / $44.67	Professional		$11.48	$27.54	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $16.22	Facility		$13.18	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $10.96	Professional		$7.59	$10.72	$10.96