Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $15.17	Facility		$15.17	$15.17	$15.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.77 / $13.62	Professional		$10.68	$10.77	$13.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $126.28 / $205.78	Facility		$49.71	$126.28	$205.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $18.88 / $18.88	Professional		$14.11	$18.88	$18.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $10.68 / $85.00	Facility		$10.68	$10.68	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $10.68	Professional		$10.68	$10.68	$10.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $23.04 / $34.56	Professional		$16.63	$23.04	$34.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $23.75 / $47.31	Facility		$10.68	$23.75	$47.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $20.95	Professional		$10.68	$10.68	$20.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $11.32	Professional		$10.68	$10.68	$11.32