Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Facility		$14.74	$14.74	$14.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.12 / $74.00	Professional		$14.74	$20.12	$74.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $17.52 / $35.40	Professional		$12.73	$17.52	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $25.91 / $38.56	Professional		$16.55	$25.91	$38.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $32.34 / $32.34	Professional		$25.48	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $24.98 / $52.80	Facility		$16.78	$24.98	$52.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $27.17 / $50.92	Professional		$19.43	$27.17	$50.92
United Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $27.03 / $34.46	Professional		$21.04	$27.03	$34.46