Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $38.36 / $54.15	Facility		$13.54	$38.36	$54.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $19.01 / $39.42	Professional		$18.05	$19.01	$39.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $119.13 / $194.13	Facility		$32.49	$119.13	$194.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $14.76 / $16.97	Professional		$11.07	$14.76	$16.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Facility		$11.73	$11.73	$11.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $16.89 / $23.44	Professional		$9.49	$16.89	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $21.66 / $21.66	Professional		$9.93	$21.66	$21.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $21.66 / $31.11	Facility		$17.14	$21.66	$31.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $18.05 / $18.05	Professional		$9.49	$18.05	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $9.40 / $10.83	Professional		$7.58	$9.40	$10.83