Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.40 / $600.40 / $600.40	Facility		$600.40	$600.40	$600.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $42.19 / $56.68	Professional		$35.56	$42.19	$56.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $118.77 / $199.51	Facility		$48.20	$118.77	$199.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $21.63	Professional		$21.00	$21.00	$21.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $119.78	Facility		$88.54	$88.54	$119.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $24.48 / $85.00	Professional		$15.58	$24.48	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $42.84 / $88.54	Facility		$42.08	$42.84	$88.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $88.54 / $88.54	Professional		$50.88	$88.54	$88.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84