Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $23.99	Professional		$15.14	$19.05	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $7.94	Professional		$5.89	$5.89	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $25.12	Professional		$12.30	$19.95	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $30.90	Facility		$16.22	$19.50	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $60.26	Professional		$20.89	$25.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $44.67	Professional		$22.39	$31.62	$44.67