Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $131.83	Facility		$21.88	$53.70	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $35.48	Professional		$12.02	$13.18	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $120.23 / $199.53	Facility		$47.86	$120.23	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $17.38	Professional		$10.23	$15.14	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.89 / $26.30	Professional		$8.51	$20.89	$26.30
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 $12.02 / $19.05 / $23.44	Facility		$12.02	$19.05	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.89 / $33.11	Professional		$8.51	$20.89	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.60 / $16.60	Facility		$10.00	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.94 / $10.96	Professional		$7.76	$7.94	$10.96