Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.50 / $3.16	Professional		$2.49	$2.50	$3.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $53.97 / $90.41	Facility		$22.50	$53.97	$90.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Facility		$2.49	$2.49	$2.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $9.27 / $60.00	Professional		$6.49	$9.27	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $2.49 / $12.00	Facility		$2.49	$2.49	$12.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $11.45	Professional		$2.49	$2.49	$11.45
United Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $2.49 / $2.49	Professional		$2.49	$2.49	$2.49