Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Facility		$19.32	$19.32	$19.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.88 / $19.32	Professional		$16.27	$16.88	$19.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $70.48 / $118.08	Facility		$29.38	$70.48	$118.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Facility		$17.29	$17.29	$17.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $16.88 / $17.29	Facility		$14.03	$16.88	$17.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $21.19	Professional		$17.29	$17.29	$21.19