Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $21.88	Professional		$10.00	$16.98	$21.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $25.70	Professional		$15.14	$19.95	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $30.90	Professional		$15.14	$15.14	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $60.26	Professional		$18.62	$36.31	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $23.44 / $42.66	Facility		$12.88	$23.44	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $28.84	Professional		$15.14	$15.14	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $19.50	Professional		$11.75	$13.18	$19.50