Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $20.45	Facility		$20.45	$20.45	$20.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.62 / $18.52	Professional		$13.49	$13.62	$18.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.51 / $130.85 / $213.22	Facility		$51.51	$130.85	$213.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $20.88	Professional		$16.91	$16.91	$20.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $85.00	Facility		$13.49	$13.49	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $19.47 / $26.55	Professional		$17.70	$19.47	$26.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $29.69	Facility		$13.49	$13.49	$29.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $19.82	Professional		$13.49	$13.49	$19.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $14.30	Professional		$13.49	$13.49	$14.30