Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Facility		$6.85	$6.85	$6.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $9.86 / $25.60	Professional		$4.67	$9.86	$25.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $115.08 / $198.57	Facility		$33.09	$115.08	$198.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $21.53	Professional		$21.53	$21.53	$21.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $28.37 / $28.37	Professional		$17.62	$28.37	$28.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $60.00	Professional		$22.82	$22.82	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $28.37	Facility		$6.11	$6.11	$28.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $28.37 / $28.37	Professional		$20.71	$28.37	$28.37
United Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $8.00 / $9.61	Facility		$6.30	$8.00	$9.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.01 / $14.85	Professional		$7.52	$8.01	$14.85