Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $48.61 / $48.61	Facility		$31.09	$48.61	$48.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $31.39 / $158.22	Professional		$31.08	$31.39	$158.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.77 / $399.86 / $685.72	Facility		$114.77	$399.86	$685.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $36.77 / $40.85	Professional		$27.58	$36.77	$40.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Facility		$31.09	$31.09	$31.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $77.92 / $77.92	Professional		$77.92	$77.92	$77.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $61.30 / $67.95	Facility		$31.09	$61.30	$67.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09