Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $30.81 / $30.81	Facility		$30.81	$30.81	$30.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $27.66	Professional		$21.70	$21.70	$27.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $140.16 / $235.44	Facility		$56.88	$140.16	$235.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $21.70 / $85.00	Facility		$21.70	$21.70	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $49.97 / $74.95	Professional		$43.03	$49.97	$74.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $21.98 / $80.48	Facility		$17.76	$21.98	$80.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $39.54	Professional		$21.70	$21.70	$39.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $23.00	Professional		$21.70	$21.70	$23.00