Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $24.00 / $48.00	Facility		$12.00	$24.00	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.20 / $102.88	Professional		$12.00	$19.20	$102.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $15.04	Professional		$13.09	$13.09	$15.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $10.40 / $10.40	Facility		$10.40	$10.40	$10.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $18.17 / $22.72	Professional		$7.48	$18.17	$22.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $8.80 / $8.80	Professional		$8.80	$8.80	$8.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $16.76 / $23.46	Facility		$8.00	$16.76	$23.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $16.00 / $22.69	Professional		$12.74	$16.00	$22.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.22 / $9.60	Professional		$6.72	$7.22	$9.60