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 $10.96 / $12.88 / $19.95	Professional		$10.96	$12.88	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $234.42	Facility		$64.57	$138.04	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $21.38	Professional		$10.72	$14.45	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $44.67	Professional		$16.22	$16.22	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $45.71	Professional		$20.89	$26.30	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $38.90	Facility		$12.02	$19.95	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $45.71	Professional		$16.22	$16.22	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.49 / $48.98	Facility		$10.47	$15.49	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $20.42	Professional		$12.59	$14.13	$20.42