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 $8.17 / $18.29 / $20.23	Professional		$8.17	$18.29	$20.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $204.27 / $354.93	Facility		$88.31	$204.27	$354.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $22.24 / $26.50	Professional		$16.68	$22.24	$26.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $14.22	Professional		$14.22	$14.22	$14.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $45.38	Professional		$40.79	$40.79	$45.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $21.91 / $24.04	Facility		$16.93	$21.91	$24.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $33.40	Professional		$14.22	$14.22	$33.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $11.81 / $17.78	Professional		$10.91	$11.81	$17.78