Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $25.36 / $50.73	Facility		$12.68	$25.36	$50.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $20.29 / $108.73	Professional		$12.68	$20.29	$108.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $112.00 / $181.85	Facility		$30.43	$112.00	$181.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $13.83 / $15.90	Professional		$10.37	$13.83	$15.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $10.99 / $10.99	Facility		$10.99	$10.99	$10.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $19.41 / $31.57	Professional		$10.60	$19.41	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $20.29 / $33.07	Facility		$15.06	$20.29	$33.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $31.57	Professional		$16.91	$16.91	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $10.06 / $10.37	Professional		$7.10	$10.06	$10.37