Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $48.02 / $48.02	Facility		$28.61	$48.02	$48.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $36.34 / $133.62	Professional		$28.61	$36.34	$133.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.18 / $685.14 / $1,112.43	Facility		$186.18	$685.14	$1,112.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $30.85 / $36.32	Professional		$30.85	$30.85	$36.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Facility		$28.61	$28.61	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $126.42 / $126.42	Professional		$126.42	$126.42	$126.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $154.31 / $155.30	Facility		$28.61	$154.31	$155.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61