Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $16.55 / $30.81	Facility		$10.62	$16.55	$30.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.48 / $36.40	Professional		$10.62	$13.48	$36.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $60.22 / $127.92	Facility		$16.37	$60.22	$127.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $11.10 / $11.10	Professional		$11.10	$11.10	$11.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $23.56 / $33.45	Facility		$9.55	$23.56	$33.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62