Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $2.27 / $2.27	Professional		$0.34	$2.27	$2.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $473.32 / $816.72	Facility		$203.22	$473.32	$816.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $3.83 / $76.59	Professional		$2.87	$3.83	$76.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $93.86 / $1,500.00	Professional		$93.86	$93.86	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.51 / $0.51	Facility		$0.51	$0.51	$0.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50