Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $46.77 / $61.66	Professional		$19.95	$46.77	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $512.86 / $870.96	Facility		$239.88	$512.86	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $63.10	Professional		$39.81	$52.48	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $97.72	Professional		$33.88	$33.88	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $144.54	Professional		$77.62	$95.50	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $48.98 / $69.18	Facility		$18.20	$48.98	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $79.43	Professional		$33.88	$33.88	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $43.65 / $67.61	Facility		$25.12	$43.65	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $41.69	Professional		$25.12	$28.18	$41.69