Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $17.68 / $17.68	Facility		$5.00	$17.68	$17.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.00 / $64.51	Professional		$3.00	$5.00	$64.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $141.19 / $230.07	Facility		$38.51	$141.19	$230.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $11.70 / $21.16	Professional		$8.43	$11.70	$21.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Professional		$26.14	$26.14	$26.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $11.77 / $17.21	Facility		$8.52	$11.77	$17.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $17.20	Professional		$17.20	$17.20	$17.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.99 / $20.39	Professional		$10.46	$12.99	$20.39