Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.38 / $6.38	Facility		$4.09	$6.38	$6.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.21 / $9.17	Professional		$4.09	$5.21	$9.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $17.09 / $29.31	Facility		$4.91	$17.09	$29.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Facility		$4.09	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.32 / $3.32	Professional		$3.32	$3.32	$3.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.52 / $4.09	Facility		$1.48	$2.52	$4.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09