Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $28.40 / $56.79	Facility		$14.20	$28.40	$56.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $22.72 / $121.72	Professional		$14.20	$22.72	$121.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $104.49 / $169.66	Facility		$28.39	$104.49	$169.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.89 / $35.52	Professional		$12.00	$21.89	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $10.41 / $10.41	Professional		$10.41	$10.41	$10.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $22.72 / $37.04	Facility		$10.02	$22.72	$37.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $18.93 / $35.52	Professional		$18.93	$18.93	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $11.36 / $11.61	Professional		$7.95	$11.36	$11.61