Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $39.45 / $62.95	Facility		$17.43	$39.45	$62.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $50.10 / $143.55	Professional		$39.45	$50.10	$143.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.36 / $674.76 / $1,711.05	Facility		$183.36	$674.76	$1,711.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Facility		$39.45	$39.45	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $124.49	Professional		$124.49	$124.49	$124.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $154.06 / $447.86	Facility		$9.24	$154.06	$447.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45