Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $43.50 / $87.89	Facility		$43.50	$43.50	$87.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $43.50 / $103.45	Professional		$30.10	$43.50	$103.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.20 / $833.42 / $1,429.25	Facility		$239.20	$833.42	$1,429.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $75.52 / $101.00	Professional		$56.65	$75.52	$101.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $162.42 / $1,500.00	Professional		$60.00	$162.42	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $59.72 / $103.45	Facility		$35.09	$59.72	$103.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $70.90 / $97.59	Professional		$48.79	$70.90	$97.59