Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $130.72 / $412.68	Facility		$19.00	$130.72	$412.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $10.06 / $11.83	Professional		$7.46	$10.06	$11.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $56.87 / $92.67	Facility		$15.51	$56.87	$92.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $7.05 / $8.11	Professional		$5.29	$7.05	$8.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.60 / $5.60	Facility		$5.60	$5.60	$5.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.91 / $16.28	Professional		$5.45	$9.91	$16.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Professional		$4.74	$4.74	$4.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $10.34 / $15.27	Facility		$7.67	$10.34	$15.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.61 / $16.28	Professional		$8.28	$8.61	$16.28
United Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $6.36 / $6.36	Facility		$5.78	$6.36	$6.36
United Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.12 / $5.28	Professional		$3.62	$5.12	$5.28