Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $43.43 / $43.43	Facility		$25.59	$43.43	$43.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $32.50 / $63.80	Professional		$25.59	$32.50	$63.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $32.85	Professional		$25.47	$25.47	$32.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Facility		$25.59	$25.59	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Professional		$36.36	$36.36	$36.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $30.44 / $52.64	Facility		$25.59	$30.44	$52.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59