Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.62 / $15.86	Professional		$12.49	$12.62	$15.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $30.07 / $50.38	Facility		$12.54	$30.07	$50.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $20.32 / $60.00	Professional		$13.55	$20.32	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $12.49 / $13.74	Facility		$1.86	$12.49	$13.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $15.75	Professional		$12.49	$12.49	$15.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49