Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $22.01 / $22.01	Facility		$14.34	$22.01	$22.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $18.21 / $28.45	Professional		$14.34	$18.21	$28.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $43.64 / $73.31	Facility		$12.27	$43.64	$73.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $16.64	Professional		$12.62	$12.62	$16.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Facility		$14.34	$14.34	$14.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.29 / $14.34	Facility		$7.28	$7.29	$14.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34