Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.90 / $110.20 / $195.32	Facility		$96.90	$110.20	$195.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.42 / $34.65	Professional		$4.90	$6.42	$34.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $35.71 / $57.99	Facility		$9.71	$35.71	$57.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.41 / $5.07	Professional		$3.31	$4.41	$5.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Facility		$3.50	$3.50	$3.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $6.20 / $9.86	Professional		$3.43	$6.20	$9.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $2.96	Professional		$2.96	$2.96	$2.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.47 / $10.50	Facility		$4.79	$6.47	$10.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $9.86	Professional		$5.39	$5.39	$9.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.20 / $3.29	Professional		$2.25	$3.20	$3.29