Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $3,777.41 / $8,600.16	Facility		$74.88	$3,777.41	$8,600.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $110.54	Professional		$48.96	$49.45	$110.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $213.13 / $357.69	Facility		$59.86	$213.13	$357.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $47.70 / $64.40	Professional		$47.70	$47.70	$64.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Facility		$48.96	$48.96	$48.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $40.64 / $40.64	Professional		$40.64	$40.64	$40.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $42.29 / $48.96	Facility		$36.36	$42.29	$48.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96