Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $39.95 / $40.76	Facility		$39.95	$39.95	$40.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $48.63 / $64.62	Professional		$40.76	$48.63	$64.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $204.39 / $333.05	Facility		$55.74	$204.39	$333.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $47.02 / $92.12	Professional		$29.46	$47.02	$92.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $73.47 / $103.10	Professional		$54.32	$73.47	$103.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.38	Professional		$32.34	$32.34	$76.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $46.53 / $60.36	Facility		$39.83	$46.53	$60.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $75.92 / $113.33	Professional		$53.54	$75.92	$113.33
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $80.31 / $115.33	Professional		$65.41	$80.31	$115.33