Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Facility		$13.82	$13.82	$13.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $15.87 / $64.54	Professional		$13.42	$15.87	$64.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $152.58 / $285.06	Facility		$47.50	$152.58	$285.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $17.87 / $21.29	Professional		$13.40	$17.87	$21.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Facility		$13.44	$13.44	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $13.44 / $16.53	Professional		$11.42	$13.44	$16.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $32.76 / $49.14	Professional		$26.20	$32.76	$49.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $16.82	Facility		$6.13	$6.13	$16.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $16.53 / $26.21	Professional		$11.42	$16.53	$26.21
United Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.63 / $9.30	Facility		$8.61	$8.63	$9.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.49 / $14.30	Professional		$8.57	$9.49	$14.30