Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $3.42	Facility		$3.42	$3.42	$3.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $2.83 / $3.42	Professional		$1.38	$2.83	$3.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $34.54 / $60.04	Facility		$14.94	$34.54	$60.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.76 / $4.48	Professional		$2.82	$3.76	$4.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $6.90 / $7.68	Professional		$6.90	$6.90	$7.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $3.69 / $4.05	Facility		$2.85	$3.69	$4.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $6.00	Professional		$2.40	$2.40	$6.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $1.99 / $2.99	Professional		$1.84	$1.99	$2.99