Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.13 / $25.25	Facility		$13.13	$13.13	$25.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.40 / $20.20	Professional		$10.74	$14.40	$20.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $133.37 / $300.00	Facility		$38.28	$133.37	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $16.25 / $18.28	Professional		$12.75	$16.25	$18.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $21.32 / $31.72	Professional		$14.83	$21.32	$31.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $32.34 / $90.00	Professional		$25.52	$32.34	$90.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $20.20 / $70.00	Facility		$14.29	$20.20	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $21.32 / $31.72	Professional		$14.83	$21.32	$31.72
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $18.77 / $24.75	Professional		$17.10	$18.77	$24.75