Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $53.75 / $53.75	Facility		$53.75	$53.75	$53.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $34.21 / $58.00	Professional		$33.88	$34.21	$58.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $198.50 / $323.45	Facility		$54.14	$198.50	$323.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $37.42 / $54.89	Professional		$37.42	$37.42	$54.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $38.92	Facility		$33.88	$33.88	$38.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $39.69 / $60.00	Professional		$36.09	$39.69	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $46.94	Facility		$33.88	$33.88	$46.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $45.71	Professional		$33.88	$33.88	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88