Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $23.24 / $46.47	Facility		$11.62	$23.24	$46.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $18.59 / $99.60	Professional		$11.62	$18.59	$99.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $102.62 / $166.61	Facility		$27.88	$102.62	$166.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $10.07 / $10.07	Facility		$10.07	$10.07	$10.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $17.76 / $29.10	Professional		$9.82	$17.76	$29.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.52 / $8.52	Professional		$8.52	$8.52	$8.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.59 / $30.30	Facility		$13.80	$18.59	$30.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $29.10	Professional		$15.49	$15.49	$29.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.21 / $9.50	Professional		$6.51	$9.21	$9.50