Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $87.32 / $87.32	Facility		$56.07	$87.32	$87.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.63 / $88.64	Professional		$56.07	$56.63	$88.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $220.12 / $358.68	Facility		$60.03	$220.12	$358.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $66.04 / $66.04	Professional		$49.53	$66.04	$66.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Facility		$56.07	$56.07	$56.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $40.76 / $40.76	Professional		$40.76	$40.76	$40.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $56.07 / $56.07	Facility		$38.22	$56.07	$56.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07