Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.17 / $5.17 / $5.17	Facility		$5.17	$5.17	$5.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $5.05 / $20.54	Professional		$1.94	$5.05	$20.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $48.58 / $90.76	Facility		$15.12	$48.58	$90.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.69 / $6.77	Professional		$4.26	$5.69	$6.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $4.28	Facility		$4.28	$4.28	$4.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.28 / $5.03	Professional		$3.64	$4.28	$5.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $10.43 / $15.64	Professional		$8.34	$10.43	$15.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $5.36	Facility		$1.95	$1.95	$5.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $5.03 / $8.34	Professional		$3.64	$5.03	$8.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $3.02 / $4.55	Professional		$2.77	$3.02	$4.55