Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $21.88 / $48.98	Facility		$15.49	$21.88	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.20	Professional		$14.13	$14.13	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $69.18 / $112.20	Facility		$31.62	$69.18	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $22.91	Professional		$13.18	$13.18	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.38 / $20.89	Facility		$14.13	$17.38	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $30.20	Professional		$14.13	$18.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $23.99	Facility		$14.13	$15.14	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.13 / $15.14	Professional		$13.80	$14.13	$15.14