Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $4.61 / $405.83	Facility		$4.61	$4.61	$405.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.16 / $14.91	Professional		$3.13	$3.16	$14.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $30.25 / $49.11	Facility		$11.86	$30.25	$49.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.33 / $4.43	Professional		$3.33	$3.33	$4.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $85.00	Facility		$3.13	$3.13	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.48 / $8.22	Professional		$4.86	$5.48	$8.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $11.91 / $148.19	Facility		$3.13	$11.91	$148.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.91	Professional		$3.13	$3.13	$4.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.32	Professional		$3.13	$3.13	$3.32