Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $15.22 / $15.22	Facility		$15.22	$15.22	$15.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $13.57 / $15.22	Professional		$12.67	$13.57	$15.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $77.09 / $132.19	Facility		$22.13	$77.09	$132.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $26.02 / $26.02	Professional		$12.04	$26.02	$26.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Facility		$11.97	$11.97	$11.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $15.02	Professional		$15.02	$15.02	$15.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $12.05	Facility		$11.97	$11.97	$12.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
United Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $51.46 / $61.75	Professional		$51.46	$51.46	$61.75