Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $104.77 / $104.77	Facility		$49.95	$104.77	$104.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $63.44 / $134.16	Professional		$49.95	$63.44	$134.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $420.77 / $685.63	Facility		$114.75	$420.77	$685.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Facility		$49.95	$49.95	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $77.92 / $77.92	Professional		$77.92	$77.92	$77.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $70.59 / $86.22	Facility		$49.95	$70.59	$86.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95