Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $239.88 / $645.65	Facility		$5.25	$239.88	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $181.97	Professional		$3.98	$5.01	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $26.30 / $42.66	Facility		$10.23	$26.30	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.89 / $9.77	Facility		$4.79	$5.89	$9.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.90	Professional		$4.79	$4.79	$4.90