Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $52.96 / $59.40	Facility		$29.60	$52.96	$59.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $49.50 / $64.00	Professional		$38.69	$49.50	$64.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $142.72 / $244.77	Facility		$40.96	$142.72	$244.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $58.37 / $58.37	Professional		$22.29	$58.37	$58.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Facility		$48.76	$48.76	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $27.81 / $27.81	Professional		$27.81	$27.81	$27.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $48.76 / $48.76	Facility		$18.25	$48.76	$48.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
United Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $52.10 / $52.25	Professional		$49.20	$52.10	$52.25