Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $23.25 / $46.50	Facility		$11.63	$23.25	$46.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $18.60 / $21.28	Professional		$17.93	$18.60	$21.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $102.67 / $166.70	Facility		$27.90	$102.67	$166.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.68 / $14.58	Professional		$9.51	$12.68	$14.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $10.08 / $10.08	Facility		$10.08	$10.08	$10.08
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 / $14.73 / $22.63	Facility		$13.80	$14.73	$22.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $16.47 / $23.68	Professional		$15.50	$16.47	$23.68
United Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Facility		$15.50	$15.50	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $13.09 / $15.50	Professional		$9.30	$13.09	$15.50