Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $18.07 / $113.19	Facility		$9.03	$18.07	$113.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $14.46 / $51.81	Professional		$9.03	$14.46	$51.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.59 / $197.18 / $338.16	Facility		$56.59	$197.18	$338.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $30.86 / $35.47	Professional		$20.05	$30.86	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Facility		$4.86	$4.86	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $43.37 / $54.21	Professional		$19.27	$43.37	$54.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $37.72 / $37.72	Professional		$20.75	$37.72	$37.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $19.62 / $35.84	Facility		$12.05	$19.62	$35.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.05 / $19.27	Professional		$9.88	$12.05	$19.27
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $12.05	Professional		$5.05	$5.05	$12.05