Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $26.48 / $52.95	Facility		$13.24	$26.48	$52.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $21.18 / $113.49	Professional		$13.24	$21.18	$113.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $116.91 / $189.83	Facility		$31.77	$116.91	$189.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $14.44 / $16.59	Professional		$10.83	$14.44	$16.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $11.47	Facility		$11.47	$11.47	$11.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $20.65 / $33.04	Professional		$11.06	$20.65	$33.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $21.18 / $34.52	Facility		$15.72	$21.18	$34.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $33.04	Professional		$17.64	$17.64	$33.04
United Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $21.64 / $30.00	Facility		$14.80	$21.64	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.50 / $10.82	Professional		$7.41	$10.50	$10.82