Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $20.23	Facility		$20.23	$20.23	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $19.43 / $25.59	Professional		$17.89	$19.43	$25.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $41.67 / $41.67	Professional		$31.25	$41.67	$41.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $25.00 / $65.75	Professional		$21.00	$25.00	$65.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $60.00 / $85.00	Professional		$48.66	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $21.37 / $46.14	Facility		$19.00	$21.37	$46.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $24.50 / $38.19	Professional		$21.00	$24.50	$38.19
United Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $75.39 / $114.54	Professional		$52.20	$75.39	$114.54