Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.15 / $6.15 / $6.15	Facility		$6.15	$6.15	$6.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $5.56 / $6.15	Professional		$2.49	$5.56	$6.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $62.05 / $107.81	Facility		$26.83	$62.05	$107.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $6.76 / $8.05	Professional		$5.07	$6.76	$8.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $4.32	Professional		$4.32	$4.32	$4.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $13.79	Professional		$12.39	$12.39	$13.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $6.68 / $7.31	Facility		$5.16	$6.68	$7.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $10.15	Professional		$4.32	$4.32	$10.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.59 / $5.41	Professional		$3.32	$3.59	$5.41