Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $39.75 / $168.38	Facility		$9.94	$39.75	$168.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $15.90 / $85.20	Professional		$9.94	$15.90	$85.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $87.77 / $142.50	Facility		$23.85	$87.77	$142.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.84 / $12.46	Professional		$8.13	$10.84	$12.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Facility		$8.61	$8.61	$8.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $15.28 / $24.66	Professional		$8.41	$15.28	$24.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.29 / $7.29	Professional		$7.29	$7.29	$7.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $15.90 / $25.91	Facility		$11.80	$15.90	$25.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $24.66	Professional		$13.25	$13.25	$24.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.95 / $8.88	Professional		$5.57	$7.95	$8.88