Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.90 / $2.59	Professional		$1.88	$1.90	$2.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $124.26 / $208.74	Facility		$50.43	$124.26	$208.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $14.37 / $14.80	Professional		$2.68	$14.37	$14.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.88 / $85.00	Facility		$1.88	$1.88	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.88	Professional		$1.88	$1.88	$1.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $14.82 / $23.71	Professional		$2.02	$14.82	$23.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $1.96 / $20.82	Facility		$1.88	$1.96	$20.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $9.52	Professional		$1.88	$1.88	$9.52
United Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $1.24 / $2.04	Facility		$1.24	$1.24	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $1.88 / $1.99	Professional		$1.88	$1.88	$1.99