Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $21.88	Professional		$19.05	$19.05	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $25.70	Professional		$19.05	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $42.66	Facility		$21.38	$21.38	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.45 / $14.45	Facility		$14.13	$14.45	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54