Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $6.84 / $6.84	Facility		$6.84	$6.84	$6.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $111.75	Facility		$15.00	$15.00	$111.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $18.00	Professional		$15.00	$15.00	$18.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $20.03 / $20.03	Professional		$6.13	$20.03	$20.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.27 / $1,500.00	Professional		$15.00	$15.27	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $20.03	Professional		$20.03	$20.03	$20.03