Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $24.70	Facility		$12.88	$12.88	$24.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $14.91 / $19.76	Professional		$12.15	$14.91	$19.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $93.08 / $159.62	Facility		$26.71	$93.08	$159.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $14.53 / $18.94	Professional		$11.93	$14.53	$18.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $18.10 / $26.93	Professional		$11.69	$18.10	$26.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $50.00 / $100.00	Professional		$12.46	$50.00	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $16.39 / $19.76	Facility		$12.81	$16.39	$19.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.89 / $26.93	Professional		$11.69	$16.89	$26.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00