Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $19.30 / $38.61	Facility		$9.65	$19.30	$38.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $15.44 / $82.75	Professional		$9.65	$15.44	$82.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $71.04 / $115.35	Facility		$19.30	$71.04	$115.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $10.53 / $12.10	Professional		$6.84	$10.53	$12.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Facility		$8.36	$8.36	$8.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $14.87 / $24.17	Professional		$8.10	$14.87	$24.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $15.44 / $25.17	Facility		$11.46	$15.44	$25.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $24.17	Professional		$12.87	$12.87	$24.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.66 / $7.89	Professional		$5.41	$7.66	$7.89