Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $30.08 / $60.15	Facility		$15.04	$30.08	$60.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $24.06 / $128.91	Professional		$15.04	$24.06	$128.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $110.68 / $179.70	Facility		$30.08	$110.68	$179.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $13.03 / $13.03	Facility		$13.03	$13.03	$13.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $30.71 / $49.58	Professional		$17.98	$30.71	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $32.68 / $32.68	Professional		$31.08	$32.68	$32.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $30.82 / $39.22	Facility		$27.57	$30.82	$39.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $27.87 / $43.48	Professional		$23.06	$27.87	$43.48
United Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $24.59 / $34.08	Facility		$16.80	$24.59	$34.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.77 / $12.29	Professional		$8.42	$11.77	$12.29