Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $8.30 / $8.30	Facility		$8.30	$8.30	$8.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $13.27 / $59.39	Professional		$8.30	$13.27	$59.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $69.95 / $118.93	Facility		$19.91	$69.95	$118.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $9.05 / $10.40	Professional		$6.79	$9.05	$10.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $24.81 / $24.81	Facility		$24.81	$24.81	$24.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $18.03	Professional		$13.27	$13.27	$18.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $15.37 / $22.50	Facility		$10.81	$15.37	$22.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $11.30 / $20.27	Professional		$11.30	$11.30	$20.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.65 / $4.82	Professional		$4.54	$4.65	$4.82