Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $117.49	Facility		$54.95	$60.26	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $64.57	Professional		$12.02	$16.22	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $199.53	Facility		$54.95	$117.49	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $17.38	Professional		$11.22	$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 $11.48 / $20.89 / $34.67	Professional		$11.48	$20.89	$34.67
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 $15.85 / $21.88 / $32.36	Facility		$15.85	$21.88	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.18 / $45.71	Professional		$11.48	$28.18	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.60 / $16.60	Facility		$13.49	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $11.22	Professional		$7.76	$10.96	$11.22