Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $69.36 / $70.64	Facility		$44.11	$69.36	$70.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.54 / $152.22	Professional		$44.10	$44.54	$152.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $182.50 / $312.97	Facility		$52.38	$182.50	$312.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $52.47 / $52.47	Professional		$39.35	$52.47	$52.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Facility		$44.11	$44.11	$44.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $35.56 / $35.56	Professional		$35.56	$35.56	$35.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $22.84 / $44.11	Facility		$20.72	$22.84	$44.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11