Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $15.79 / $15.79	Facility		$10.14	$15.79	$15.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.24 / $21.41	Professional		$10.14	$10.24	$21.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $37.54 / $62.47	Facility		$10.46	$37.54	$62.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Facility		$10.14	$10.14	$10.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Professional		$7.09	$7.09	$7.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.60 / $7.19 / $10.14	Facility		$6.60	$7.19	$10.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14