Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $17.07 / $17.07	Facility		$17.07	$17.07	$17.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $15.44 / $17.07	Professional		$6.90	$15.44	$17.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.54 / $172.42 / $299.58	Facility		$74.54	$172.42	$299.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $14.08 / $22.37	Professional		$14.08	$14.08	$22.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $34.43 / $38.31	Professional		$34.43	$34.43	$38.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $18.50 / $20.29	Facility		$14.30	$18.50	$20.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $28.20	Professional		$12.00	$12.00	$28.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $9.97 / $15.01	Professional		$9.21	$9.97	$15.01