Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $23.76 / $47.52	Facility		$11.88	$23.76	$47.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $18.51 / $101.85	Professional		$11.88	$18.51	$101.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $84.28 / $141.97	Facility		$23.76	$84.28	$141.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.96 / $14.89	Professional		$8.42	$12.96	$14.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Facility		$10.30	$10.30	$10.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $18.17 / $29.60	Professional		$9.97	$18.17	$29.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $19.01 / $31.00	Facility		$14.12	$19.01	$31.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $29.60	Professional		$15.84	$15.84	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $9.36 / $10.61	Professional		$6.65	$9.36	$10.61