Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $24.24 / $24.24	Facility		$15.61	$24.24	$24.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $19.82 / $40.32	Professional		$15.61	$19.82	$40.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $78.54 / $127.98	Facility		$21.42	$78.54	$127.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $20.68	Professional		$15.32	$15.32	$20.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $14.54 / $14.54	Professional		$14.54	$14.54	$14.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Facility		$15.61	$15.61	$15.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61