Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $23.51 / $23.51	Facility		$15.11	$23.51	$23.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $19.19 / $31.70	Professional		$15.11	$19.19	$31.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $42.49 / $72.87	Facility		$12.20	$42.49	$72.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $13.65 / $18.43	Professional		$13.65	$13.65	$18.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Facility		$15.11	$15.11	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Professional		$8.28	$8.28	$8.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $7.42 / $15.11	Facility		$6.50	$7.42	$15.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11