Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $678.68 / $820.80	Facility		$45.68	$678.68	$820.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $38.11 / $476.63	Professional		$30.01	$38.11	$476.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $43.12 / $70.27	Facility		$11.76	$43.12	$70.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $34.54	Professional		$18.59	$18.59	$34.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Facility		$30.01	$30.01	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $7.98 / $7.98	Professional		$7.98	$7.98	$7.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.09 / $30.01	Facility		$4.07	$5.09	$30.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01