Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $22.20 / $44.40	Facility		$11.10	$22.20	$44.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $17.76 / $95.16	Professional		$11.10	$17.76	$95.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $92.82 / $159.16	Facility		$26.64	$92.82	$159.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $12.11 / $13.91	Professional		$7.87	$12.11	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Facility		$9.61	$9.61	$9.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $16.93 / $27.62	Professional		$9.35	$16.93	$27.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Professional		$8.14	$8.14	$8.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $17.76 / $28.95	Facility		$11.95	$17.76	$28.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $27.62	Professional		$14.80	$14.80	$27.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $8.80 / $9.08	Professional		$6.22	$8.80	$9.08