Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $25.79 / $51.57	Facility		$12.89	$25.79	$51.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $20.63 / $110.53	Professional		$12.89	$20.63	$110.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $113.88 / $184.90	Facility		$30.95	$113.88	$184.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.06 / $16.16	Professional		$10.54	$14.06	$16.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $11.17 / $11.17	Facility		$11.17	$11.17	$11.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $19.82 / $32.06	Professional		$10.75	$19.82	$32.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Professional		$9.44	$9.44	$9.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $20.63 / $33.63	Facility		$15.32	$20.63	$33.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $17.19 / $32.06	Professional		$17.19	$17.19	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.23 / $10.54	Professional		$7.22	$10.23	$10.54