Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $48.98 / $323.59	Facility		$44.67	$48.98	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $323.59	Professional		$12.88	$13.49	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $162.18	Facility		$38.90	$100.00	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $14.13	Professional		$9.12	$12.30	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.98 / $28.18	Professional		$9.55	$16.98	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $26.30	Facility		$13.49	$17.78	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $22.91 / $37.15	Professional		$9.55	$22.91	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.49 / $13.49	Facility		$10.96	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $9.12	Professional		$6.31	$8.91	$9.12