Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $5.35 / $5.35	Facility		$3.48	$5.35	$5.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $4.80	Professional		$3.48	$3.48	$4.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $49.56 / $80.75	Facility		$13.52	$49.56	$80.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Facility		$3.48	$3.48	$3.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $9.17	Professional		$9.17	$9.17	$9.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $8.02 / $10.84	Facility		$3.48	$8.02	$10.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48