Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $20.80 / $20.80	Facility		$13.29	$20.80	$20.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $16.88 / $31.26	Professional		$13.29	$16.88	$31.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $62.10 / $101.19	Facility		$16.93	$62.10	$101.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $12.70 / $15.73	Professional		$12.70	$12.70	$15.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $11.49 / $11.49	Professional		$11.49	$11.49	$11.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $10.37 / $13.29	Facility		$7.76	$10.37	$13.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29