Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $63.23 / $63.23	Facility		$44.60	$63.23	$63.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $45.03 / $98.77	Professional		$44.60	$45.03	$98.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $150.46 / $258.02	Facility		$43.19	$150.46	$258.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $37.92 / $51.19	Professional		$37.92	$37.92	$51.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Facility		$44.60	$44.60	$44.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $29.32 / $29.32	Professional		$29.32	$29.32	$29.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $21.24 / $44.60	Facility		$19.45	$21.24	$44.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60