Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $3,834.39 / $3,882.20	Facility		$45.59	$3,834.39	$3,882.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $37.29 / $1,668.60	Professional		$29.37	$37.29	$1,668.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $80.91 / $131.84	Facility		$22.07	$80.91	$131.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $31.08 / $34.47	Professional		$23.02	$31.08	$34.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $14.98 / $14.98	Professional		$14.98	$14.98	$14.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $29.38 / $29.38	Facility		$14.16	$29.38	$29.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
United Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38