Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.98 / $53.94	Facility		$13.49	$26.98	$53.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.53 / $115.61	Professional		$13.49	$16.53	$115.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $112.78 / $193.41	Facility		$32.36	$112.78	$193.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $14.71 / $16.89	Professional		$11.03	$14.71	$16.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $11.69 / $11.69	Facility		$11.69	$11.69	$11.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $20.65 / $33.54	Professional		$11.38	$20.65	$33.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Professional		$9.89	$9.89	$9.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $17.07 / $21.58	Facility		$11.69	$17.07	$21.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $19.10 / $27.38	Professional		$17.98	$19.10	$27.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.63 / $10.79	Professional		$7.55	$10.63	$10.79