Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $25.80 / $51.60	Facility		$12.90	$25.80	$51.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $20.64 / $110.60	Professional		$12.90	$20.64	$110.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $94.94 / $154.16	Facility		$25.80	$94.94	$154.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $14.07 / $16.17	Professional		$9.15	$14.07	$16.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $11.18 / $11.18	Facility		$11.18	$11.18	$11.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $19.82 / $32.56	Professional		$10.91	$19.82	$32.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $9.46	Professional		$9.46	$9.46	$9.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $20.64 / $33.65	Facility		$11.18	$20.64	$33.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $32.56	Professional		$17.20	$17.20	$32.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.32 / $10.55	Professional		$7.22	$10.32	$10.55