Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $5.41 / $74.89	Facility		$3.57	$5.41	$74.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.60 / $19.68	Professional		$3.57	$3.60	$19.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $20.14 / $218.67	Facility		$5.47	$20.14	$218.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $4.63	Professional		$3.43	$3.43	$4.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Facility		$3.57	$3.57	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $3.71 / $3.71	Professional		$3.71	$3.71	$3.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $30.62 / $40.93	Facility		$3.57	$30.62	$40.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57