Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $78.62 / $78.62	Facility		$50.74	$78.62	$78.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $64.44 / $8,326.56	Professional		$50.74	$64.44	$8,326.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $199.81 / $335.65	Facility		$56.18	$199.81	$335.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $47.19 / $63.71	Professional		$47.19	$47.19	$63.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Facility		$50.74	$50.74	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $38.14 / $38.14	Professional		$38.14	$38.14	$38.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $37.82 / $50.74	Facility		$36.60	$37.82	$50.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74