Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.80	Professional		$20.00	$20.00	$20.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,370.00	Facility		$200.00	$200.00	$1,370.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $117.89 / $117.89	Professional		$32.53	$117.89	$117.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $200.00 / $300.00	Professional		$140.00	$200.00	$300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $117.89 / $117.89	Professional		$32.53	$117.89	$117.89