Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $25.28 / $50.55	Facility		$12.64	$25.28	$50.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $20.22 / $108.35	Professional		$12.64	$20.22	$108.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $111.21 / $181.22	Facility		$30.33	$111.21	$181.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.78 / $15.84	Professional		$10.34	$13.78	$15.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Facility		$10.95	$10.95	$10.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $19.41 / $27.13	Professional		$9.19	$19.41	$27.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $20.22 / $28.39	Facility		$12.93	$20.22	$28.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $16.85 / $27.13	Professional		$15.42	$16.85	$27.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $17.79 / $25.28	Facility		$12.17	$17.79	$25.28
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.64 / $10.11	Professional		$7.08	$8.64	$10.11