Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $21.00 / $42.00	Facility		$10.50	$21.00	$42.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $16.80 / $90.02	Professional		$10.50	$16.80	$90.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $77.00 / $125.48	Facility		$21.00	$77.00	$125.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $9.10 / $9.10	Facility		$9.10	$9.10	$9.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $16.11 / $26.14	Professional		$6.82	$16.11	$26.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $7.70	Professional		$7.70	$7.70	$7.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.97 / $15.40 / $24.50	Facility		$8.97	$15.40	$24.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $14.00 / $26.14	Professional		$6.82	$14.00	$26.14
United Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $17.17 / $23.81	Facility		$11.74	$17.17	$23.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.40 / $8.59	Professional		$5.88	$8.40	$8.59