Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $117.00 / $1,499.91	Facility		$5.61	$117.00	$1,499.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $82.06 / $201.35	Professional		$64.62	$82.06	$201.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.13 / $270.77 / $454.85	Facility		$76.13	$270.77	$454.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $51.69 / $51.69	Professional		$51.69	$51.69	$51.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.96 / $9.52 / $64.62	Facility		$2.96	$9.52	$64.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62