Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $16.70 / $16.70	Facility		$16.70	$16.70	$16.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $15.09 / $16.70	Professional		$6.74	$15.09	$16.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $115.88 / $275.00	Facility		$49.75	$115.88	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $18.36 / $21.87	Professional		$13.77	$18.36	$21.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Professional		$11.73	$11.73	$11.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $25.27 / $37.46	Professional		$22.98	$25.27	$37.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $18.07 / $19.82	Facility		$13.97	$18.07	$19.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $27.58	Professional		$11.73	$11.73	$27.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.74 / $14.67	Professional		$9.00	$9.74	$14.67