Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $69.36 / $92.65	Facility		$12.05	$69.36	$92.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $19.28 / $103.33	Professional		$12.05	$19.28	$103.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $106.04 / $172.80	Facility		$28.92	$106.04	$172.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.15 / $15.11	Professional		$9.86	$13.15	$15.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $10.45 / $10.45	Facility		$10.45	$10.45	$10.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $18.59 / $30.09	Professional		$10.13	$18.59	$30.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Professional		$8.84	$8.84	$8.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $19.28 / $31.42	Facility		$14.31	$19.28	$31.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $16.07 / $24.79	Professional		$14.99	$16.07	$24.79
United Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.56 / $9.85	Professional		$6.75	$9.56	$9.85