Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $22.34 / $22.34	Facility		$22.34	$22.34	$22.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.92 / $22.34	Professional		$18.62	$19.92	$22.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $97.99 / $168.05	Facility		$28.13	$97.99	$168.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $17.69	Professional		$15.64	$15.64	$17.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Professional		$19.09	$19.09	$19.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $17.52 / $17.52	Facility		$14.05	$17.52	$17.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $22.34	Professional		$18.62	$18.62	$22.34