Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $75.42 / $75.42	Facility		$47.53	$75.42	$75.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.00 / $73.70	Professional		$47.53	$48.00	$73.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $272.14 / $441.85	Facility		$73.95	$272.14	$441.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $41.82 / $57.05	Professional		$41.82	$41.82	$57.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Facility		$47.52	$47.52	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $50.21 / $50.21	Professional		$50.21	$50.21	$50.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $46.95 / $47.52	Facility		$31.57	$46.95	$47.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Professional		$47.53	$47.53	$47.53