Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $8.53 / $9.33	Professional		$4.98	$8.53	$9.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $72.93 / $118.84	Facility		$28.71	$72.93	$118.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $12.68	Facility		$9.35	$9.35	$12.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $10.75 / $85.00	Professional		$7.16	$10.75	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $9.35 / $12.68	Facility		$6.43	$9.35	$12.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Professional		$9.35	$9.35	$9.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $7.36 / $9.66	Professional		$5.80	$7.36	$9.66