Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $6.06 / $1,027.82	Facility		$3.52	$6.06	$1,027.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.48 / $27.38	Professional		$3.52	$4.48	$27.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $46.88 / $80.39	Facility		$13.46	$46.88	$80.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Facility		$3.52	$3.52	$3.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $9.13 / $9.13	Professional		$9.13	$9.13	$9.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $3.30 / $5.64	Facility		$1.77	$3.30	$5.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52