Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $139.40 / $139.40	Facility		$14.25	$139.40	$139.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $10.58 / $14.25	Professional		$9.96	$10.58	$14.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $122.27 / $199.24	Facility		$33.34	$122.27	$199.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $22.63 / $22.63	Professional		$22.63	$22.63	$22.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $19.45 / $26.12	Facility		$10.19	$19.45	$26.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00