Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $33.10 / $71.83	Facility		$21.23	$33.10	$71.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $26.96 / $116.77	Professional		$21.23	$26.96	$116.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $124.14 / $201.57	Facility		$33.72	$124.14	$201.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Facility		$28.21	$28.21	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $22.41 / $28.21	Facility		$12.94	$22.41	$28.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23