Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.89 / $85.89 / $85.89	Facility		$85.89	$85.89	$85.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $76.42	Professional		$55.65	$56.20	$76.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $170.84 / $278.38	Facility		$67.25	$170.84	$278.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $44.76 / $71.45	Professional		$44.76	$44.76	$71.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $85.00	Facility		$55.65	$55.65	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $59.47 / $84.52	Professional		$54.07	$59.47	$84.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $70.67	Facility		$55.65	$55.65	$70.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $64.95	Professional		$55.65	$55.65	$64.95
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $58.99	Professional		$55.65	$55.65	$58.99