Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.40 / $7.40 / $7.40	Facility		$7.40	$7.40	$7.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.67 / $14.22	Professional		$7.40	$10.67	$14.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.00 / $19.00	Professional		$14.25	$19.00	$19.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $28.65 / $28.65	Facility		$28.65	$28.65	$28.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.65 / $28.65	Professional		$20.91	$28.65	$28.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $6.58 / $28.65	Facility		$6.58	$6.58	$28.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.65 / $28.65	Professional		$20.91	$28.65	$28.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.66 / $14.79	Professional		$8.13	$8.66	$14.79