Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.99 / $10.99 / $10.99	Facility		$10.99	$10.99	$10.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.00 / $25.10	Professional		$9.33	$10.00	$25.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $81.84 / $140.35	Facility		$23.49	$81.84	$140.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $12.31 / $12.31	Professional		$9.23	$12.31	$12.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Facility		$10.33	$10.33	$10.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Professional		$10.33	$10.33	$10.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $15.94 / $15.94	Professional		$15.94	$15.94	$15.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $10.33 / $10.33	Facility		$9.22	$10.33	$10.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Professional		$10.33	$10.33	$10.33
United Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $10.99 / $12.53	Professional		$10.99	$10.99	$12.53