Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $14.86 / $18.23	Professional		$11.98	$14.86	$18.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.63 / $21.63	Professional		$16.22	$21.63	$21.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.42 / $65.75	Professional		$10.00	$14.42	$65.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $16.35 / $39.52	Facility		$14.00	$16.35	$39.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.42 / $24.63	Professional		$10.00	$14.42	$24.63
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $64.48 / $97.96	Professional		$44.64	$64.48	$97.96