Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $5.72 / $5.72	Facility		$5.72	$5.72	$5.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $6.57 / $26.34	Professional		$2.58	$6.57	$26.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $63.25 / $118.17	Facility		$19.69	$63.25	$118.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $7.40 / $8.82	Professional		$5.55	$7.40	$8.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Facility		$5.57	$5.57	$5.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.57 / $6.36	Professional		$4.73	$5.57	$6.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $13.58 / $20.37	Professional		$10.86	$13.58	$20.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $6.96	Facility		$2.54	$2.54	$6.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.36 / $9.56	Professional		$4.73	$6.36	$9.56
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.93 / $5.92	Professional		$3.55	$3.93	$5.92