Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Professional		$130.00	$130.00	$130.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.56 / $2.08	Professional		$1.15	$1.56	$2.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $16.52 / $20.65	Professional		$16.52	$16.52	$20.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Professional		$19.07	$19.07	$19.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $10.05 / $14.51	Professional		$8.57	$10.05	$14.51