Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.99 / $16.32	Professional		$12.86	$12.99	$16.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $97.95 / $170.20	Facility		$39.96	$97.95	$170.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $18.85 / $25.71	Professional		$17.14	$18.85	$25.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.40 / $12.86 / $15.37	Facility		$7.40	$12.86	$15.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $16.98	Professional		$12.86	$12.86	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86