Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $5.82 / $5.82	Facility		$5.82	$5.82	$5.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.40 / $5.53	Professional		$4.36	$4.40	$5.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $324.61 / $545.28	Facility		$91.26	$324.61	$545.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $17.14 / $17.64	Professional		$5.94	$17.14	$17.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $85.00	Facility		$4.36	$4.36	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $33.22 / $58.13	Professional		$6.15	$33.22	$58.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $5.53 / $55.25	Facility		$4.36	$5.53	$55.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $6.59	Professional		$4.36	$4.36	$6.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.62	Professional		$4.36	$4.36	$4.62