Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $21.61 / $43.23	Facility		$10.81	$21.61	$43.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $17.29 / $92.66	Professional		$10.81	$17.29	$92.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $95.44 / $154.96	Facility		$25.93	$95.44	$154.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.79 / $13.55	Professional		$8.84	$11.79	$13.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Facility		$9.36	$9.36	$9.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $16.93 / $27.13	Professional		$9.03	$16.93	$27.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $7.93 / $7.93	Professional		$7.93	$7.93	$7.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $17.29 / $28.17	Facility		$12.83	$17.29	$28.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $14.41 / $27.13	Professional		$14.41	$14.41	$27.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.57 / $8.83	Professional		$6.05	$8.57	$8.83