Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $25.74 / $51.48	Facility		$12.87	$25.74	$51.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $20.59 / $110.34	Professional		$12.87	$20.59	$110.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.88 / $113.66 / $184.54	Facility		$30.88	$113.66	$184.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $14.04 / $16.13	Professional		$9.13	$14.04	$16.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $11.15 / $11.15	Facility		$11.15	$11.15	$11.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $19.82 / $32.06	Professional		$10.75	$19.82	$32.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Professional		$9.44	$9.44	$9.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $20.59 / $33.57	Facility		$15.28	$20.59	$33.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $17.16 / $32.06	Professional		$17.16	$17.16	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.30 / $10.53	Professional		$7.21	$10.30	$10.53