Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $26.85 / $53.70	Facility		$13.43	$26.85	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.48 / $115.10	Professional		$13.43	$21.48	$115.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $98.81 / $160.43	Facility		$26.85	$98.81	$160.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $14.64 / $16.82	Professional		$14.64	$14.64	$16.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $11.64 / $11.64	Facility		$11.64	$11.64	$11.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $20.65 / $33.04	Professional		$11.06	$20.65	$33.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $21.48 / $34.26	Facility		$15.60	$21.48	$34.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $33.04	Professional		$17.89	$17.89	$33.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.54 / $10.74	Professional		$7.52	$10.54	$10.74