Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $47.10 / $47.10	Facility		$47.10	$47.10	$47.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $41.15 / $47.10	Professional		$41.15	$41.15	$47.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $192.69 / $330.45	Facility		$55.30	$192.69	$330.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $37.54 / $37.54	Professional		$37.54	$37.54	$37.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $27.49 / $42.14	Facility		$22.41	$27.49	$42.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Professional		$41.31	$41.31	$41.31