Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $35.85 / $56.25	Facility		$14.06	$35.85	$56.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $22.50 / $120.56	Professional		$14.06	$22.50	$120.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $124.20 / $201.66	Facility		$33.75	$124.20	$201.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $15.34 / $17.63	Professional		$11.51	$15.34	$17.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Facility		$12.19	$12.19	$12.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $21.48 / $35.02	Professional		$11.84	$21.48	$35.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $10.31 / $10.31	Professional		$10.31	$10.31	$10.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $22.50 / $36.69	Facility		$16.71	$22.50	$36.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $35.02	Professional		$18.75	$18.75	$35.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.25 / $11.50	Professional		$7.88	$11.25	$11.50