Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $501.19 / $831.76	Facility		$234.42	$501.19	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.80 / $75.86	Professional		$2.88	$3.80	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $141.25	Professional		$60.26	$93.33	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $0.85 / $2.69	Facility		$0.51	$0.85	$2.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46