Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $6.65 / $6.65	Facility		$6.65	$6.65	$6.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $6.01 / $6.65	Professional		$2.68	$6.01	$6.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $67.62 / $275.00	Facility		$29.03	$67.62	$275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.31 / $8.71	Professional		$5.48	$7.31	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $4.67 / $4.67	Professional		$4.67	$4.67	$4.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $13.41 / $14.91	Professional		$13.41	$13.41	$14.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $7.19 / $7.89	Facility		$5.56	$7.19	$7.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $4.67 / $10.98	Professional		$4.67	$4.67	$10.98
United Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $3.88 / $5.84	Professional		$3.58	$3.88	$5.84