Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $304.88 / $941.64	Facility		$8.11	$304.88	$941.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.62 / $123.80	Professional		$5.05	$5.62	$123.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $73.80 / $662.04	Facility		$20.05	$73.80	$662.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $8.10 / $10.94	Professional		$6.14	$8.10	$10.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.61 / $13.61	Professional		$13.61	$13.61	$13.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $6.47	Facility		$5.05	$5.05	$6.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05