Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Facility		$2.48	$2.48	$2.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.00	Professional		$1.22	$1.22	$2.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $144.13 / $234.01	Facility		$56.53	$144.13	$234.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.43 / $2.54	Professional		$2.06	$2.43	$2.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $85.00	Facility		$1.22	$1.22	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $1.85 / $2.95	Professional		$1.69	$1.85	$2.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.54 / $32.47	Facility		$1.22	$1.54	$32.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.91	Professional		$1.22	$1.22	$2.91
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.29	Professional		$1.22	$1.22	$1.29