Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $16.50 / $16.50	Facility		$16.50	$16.50	$16.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $14.91 / $16.50	Professional		$6.66	$14.91	$16.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $114.47 / $275.00	Facility		$49.15	$114.47	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $18.14 / $21.61	Professional		$13.61	$18.14	$21.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $24.97 / $37.00	Professional		$22.70	$24.97	$37.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $17.86 / $19.57	Facility		$13.62	$17.86	$19.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $18.29	Professional		$11.59	$11.59	$18.29
United Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $9.63 / $14.49	Professional		$8.89	$9.63	$14.49