Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $61.77 / $61.77	Facility		$39.54	$61.77	$61.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $39.54 / $50.22	Professional		$33.64	$39.54	$50.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.38 / $247.96 / $414.73	Facility		$67.38	$247.96	$414.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $47.33 / $47.33	Professional		$46.72	$47.33	$47.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Facility		$39.54	$39.54	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $45.74 / $45.74	Professional		$45.74	$45.74	$45.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.05 / $48.20 / $72.65	Facility		$31.05	$48.20	$72.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54