Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $24.29 / $24.29	Facility		$16.07	$24.29	$24.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $21.81	Professional		$16.07	$16.07	$21.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $73.26 / $119.38	Facility		$19.98	$73.26	$119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $13.56	Professional		$13.56	$13.56	$13.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $12.72 / $36.40	Facility		$10.91	$12.72	$36.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07