Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $127.37 / $127.37	Facility		$78.80	$127.37	$127.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $100.07 / $178.95	Professional		$78.80	$100.07	$178.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $159.59 / $259.45	Facility		$43.42	$159.59	$259.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $73.17 / $73.17	Professional		$73.17	$73.17	$73.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Facility		$78.79	$78.79	$78.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $29.48 / $29.48	Professional		$29.48	$29.48	$29.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $32.04 / $78.79	Facility		$30.66	$32.04	$78.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $78.80	Professional		$78.80	$78.80	$78.80