Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Facility		$18.89	$18.89	$18.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $16.97	Professional		$10.54	$10.65	$16.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $53.24 / $86.76	Facility		$20.96	$53.24	$86.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $11.78 / $15.90	Professional		$11.78	$11.78	$15.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $85.00	Facility		$10.54	$10.54	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $21.44 / $32.15	Professional		$21.29	$21.44	$32.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $10.54 / $16.93	Facility		$9.24	$10.54	$16.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $18.48	Professional		$10.54	$10.54	$18.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $11.17	Professional		$10.54	$10.54	$11.17