Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $87.44 / $87.44	Facility		$50.37	$87.44	$87.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $55.95 / $126.07	Professional		$50.37	$55.95	$126.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $165.98 / $284.64	Facility		$47.64	$165.98	$284.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Facility		$50.37	$50.37	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $32.35 / $32.35	Professional		$32.35	$32.35	$32.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $31.10 / $50.37	Facility		$24.40	$31.10	$50.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37