Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $21.88	Professional		$8.91	$8.91	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $257.04 / $416.87	Facility		$117.49	$257.04	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $70.79	Professional		$47.86	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $22.91	Facility		$9.55	$9.55	$22.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $309.03 / $309.03	Facility		$138.04	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62