Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Facility		$11.11	$11.11	$11.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $10.03 / $11.11	Professional		$4.49	$10.03	$11.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $112.08 / $194.74	Facility		$48.45	$112.08	$194.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $12.20 / $14.54	Professional		$9.15	$12.20	$14.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Professional		$7.80	$7.80	$7.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $22.38 / $24.91	Professional		$22.38	$22.38	$24.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $12.03 / $13.20	Facility		$9.30	$12.03	$13.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $7.80 / $18.34	Professional		$7.80	$7.80	$18.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.48 / $9.77	Professional		$6.00	$6.48	$9.77