Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $40.61 / $84.08	Facility		$40.61	$40.61	$84.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $46.86 / $119.19	Professional		$40.61	$46.86	$119.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.01 / $310.12 / $531.83	Facility		$89.01	$310.12	$531.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $50.05 / $68.14	Professional		$25.00	$50.05	$68.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $59.89 / $91.03	Professional		$37.04	$59.89	$91.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.06	Professional		$32.34	$32.34	$75.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $43.36 / $77.09	Facility		$37.79	$43.36	$77.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $79.64 / $122.21	Professional		$47.37	$79.64	$122.21
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $54.13 / $106.49	Professional		$39.31	$54.13	$106.49