Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $12.90 / $25.80	Facility		$6.45	$12.90	$25.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $10.32 / $55.30	Professional		$6.45	$10.32	$55.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $47.47 / $77.08	Facility		$12.90	$47.47	$77.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $5.59 / $5.59	Facility		$5.59	$5.59	$5.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $9.91 / $16.28	Professional		$5.45	$9.91	$16.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $4.73	Professional		$4.73	$4.73	$4.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $10.32 / $16.82	Facility		$7.66	$10.32	$16.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $8.60 / $16.28	Professional		$8.60	$8.60	$16.28
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.16 / $5.28	Professional		$3.61	$5.16	$5.28