Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $12.44 / $12.44	Facility		$12.44	$12.44	$12.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $11.24 / $12.44	Professional		$5.01	$11.24	$12.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.28 / $126.42 / $275.00	Facility		$54.28	$126.42	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $16.29	Professional		$10.25	$10.25	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $25.07 / $27.89	Professional		$25.07	$25.07	$27.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $13.46 / $14.77	Facility		$10.40	$13.46	$14.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $20.53	Professional		$8.75	$8.75	$20.53
United Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $7.26 / $10.92	Professional		$6.71	$7.26	$10.92