Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Facility		$12.46	$12.46	$12.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $10.34 / $49.45	Professional		$5.03	$10.34	$49.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $106.92 / $275.00	Facility		$30.96	$106.92	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $11.64 / $13.87	Professional		$8.73	$11.64	$13.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Facility		$10.29	$10.29	$10.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.29 / $12.19	Professional		$8.75	$10.29	$12.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $21.35 / $32.02	Professional		$17.07	$21.35	$32.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $11.30	Facility		$4.69	$4.69	$11.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $12.19 / $17.95	Professional		$8.75	$12.19	$17.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $7.27 / $10.94	Professional		$6.56	$7.27	$10.94