Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $24.65 / $49.29	Facility		$12.32	$24.65	$49.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $19.72 / $105.65	Professional		$12.32	$19.72	$105.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $87.66 / $147.25	Facility		$24.64	$87.66	$147.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $13.44 / $15.44	Professional		$13.44	$13.44	$15.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Facility		$10.68	$10.68	$10.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $19.00 / $23.75	Professional		$7.48	$19.00	$23.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $9.03 / $9.03	Professional		$9.03	$9.03	$9.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $16.76 / $23.46	Facility		$10.68	$16.76	$23.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $16.43 / $22.69	Professional		$12.74	$16.43	$22.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $7.14 / $9.86	Professional		$6.90	$7.14	$9.86