Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.00 / $120.00	Professional		$1.50	$2.00	$120.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $22.55 / $22.55	Professional		$19.17	$22.55	$22.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $120.00 / $180.00	Professional		$75.00	$120.00	$180.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $22.55	Facility		$5.00	$5.00	$22.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $22.55 / $22.55	Professional		$19.17	$22.55	$22.55