Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $21.15 / $21.15	Facility		$21.15	$21.15	$21.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $32.47 / $120.83	Professional		$21.15	$32.47	$120.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $34.46 / $41.06	Professional		$25.85	$34.46	$41.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $26.67	Facility		$26.67	$26.67	$26.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.67 / $26.67	Professional		$19.47	$26.67	$26.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $43.14 / $64.70	Professional		$34.51	$43.14	$64.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $32.40	Facility		$12.34	$12.34	$32.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.67 / $49.08	Professional		$19.47	$26.67	$49.08
United Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $19.12 / $28.80	Professional		$17.36	$19.12	$28.80