Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $15.14 / $22.91	Professional		$7.08	$15.14	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $295.12	Facility		$81.28	$173.78	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $21.38	Professional		$11.48	$14.13	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $31.62	Professional		$11.48	$11.48	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $48.98	Professional		$26.30	$33.11	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $16.98 / $23.99	Facility		$6.17	$16.98	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $26.92	Professional		$11.48	$11.48	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $19.50	Facility		$8.71	$8.71	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.55 / $14.45	Professional		$8.51	$9.55	$14.45