Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $22.78 / $22.78	Facility		$22.78	$22.78	$22.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $20.72 / $43.77	Professional		$19.35	$20.72	$43.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $25.52 / $25.52	Professional		$19.14	$25.52	$25.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Facility		$21.40	$21.40	$21.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $21.58 / $21.58	Professional		$21.58	$21.58	$21.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $21.40 / $21.40	Facility		$19.11	$21.40	$21.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $22.78 / $27.34	Professional		$22.78	$22.78	$27.34