Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $18.60 / $99.67	Professional		$11.63	$18.60	$99.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $102.67 / $166.70	Facility		$27.90	$102.67	$166.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.68 / $14.57	Professional		$9.51	$12.68	$14.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $10.08 / $10.08	Facility		$10.08	$10.08	$10.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $17.76 / $29.10	Professional		$9.82	$17.76	$29.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $8.52	Professional		$8.52	$8.52	$8.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $18.60 / $30.32	Facility		$13.81	$18.60	$30.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $29.10	Professional		$15.50	$15.50	$29.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.30 / $9.51	Professional		$6.51	$9.30	$9.51