Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $21.35 / $21.35	Facility		$21.35	$21.35	$21.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $19.29 / $21.35	Professional		$8.61	$19.29	$21.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $147.13 / $255.65	Facility		$63.61	$147.13	$255.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $23.47 / $27.96	Professional		$17.60	$23.47	$27.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $33.78 / $47.89	Professional		$29.38	$33.78	$47.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $23.12 / $25.36	Facility		$17.87	$23.12	$25.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $41.41	Professional		$15.00	$15.00	$41.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $12.46 / $18.76	Professional		$11.51	$12.46	$18.76