Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.11 / $24.11	Facility		$24.11	$24.11	$24.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $18.70 / $24.11	Professional		$15.93	$18.70	$24.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.50 / $26.50	Professional		$19.88	$26.50	$26.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $39.61	Professional		$13.54	$13.54	$39.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $54.08 / $54.08	Professional		$39.82	$54.08	$54.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $35.81 / $69.12	Facility		$23.10	$35.81	$69.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $46.76	Professional		$13.54	$13.54	$46.76
United Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.37 / $23.95	Professional		$14.06	$14.37	$23.95