Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $20.04 / $40.08	Facility		$10.02	$20.04	$40.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $16.03 / $85.90	Professional		$10.02	$16.03	$85.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $88.49 / $143.66	Facility		$24.05	$88.49	$143.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $10.93 / $12.56	Professional		$10.93	$10.93	$12.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Facility		$8.68	$8.68	$8.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $15.28 / $25.16	Professional		$8.41	$15.28	$25.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $7.35	Professional		$7.35	$7.35	$7.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $16.03 / $26.12	Facility		$9.19	$16.03	$26.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.36 / $25.16	Professional		$13.36	$13.36	$25.16
United Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $7.95 / $8.19	Professional		$5.61	$7.95	$8.19