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 $16.14 / $19.47 / $25.59	Professional		$16.14	$19.47	$25.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $36.75 / $36.75	Professional		$27.56	$36.75	$36.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.00 / $32.15	Professional		$19.00	$23.00	$32.15
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 $19.00 / $20.97 / $31.36	Facility		$19.00	$20.97	$31.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $23.00 / $39.47	Professional		$18.00	$23.00	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $52.00 / $78.98	Professional		$36.00	$52.00	$78.98