Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $23.84 / $47.67	Facility		$11.92	$23.84	$47.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $19.07 / $102.17	Professional		$11.92	$19.07	$102.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $101.75 / $170.91	Facility		$28.61	$101.75	$170.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $13.00 / $14.94	Professional		$9.75	$13.00	$14.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Facility		$10.33	$10.33	$10.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $18.17 / $24.17	Professional		$8.10	$18.17	$24.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $8.74	Professional		$8.74	$8.74	$8.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.01 / $25.21	Facility		$11.48	$18.01	$25.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $15.89 / $24.17	Professional		$13.70	$15.89	$24.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $7.67 / $9.52	Professional		$6.67	$7.67	$9.52