Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $125.89	Facility		$39.81	$57.54	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $67.61	Professional		$36.31	$37.15	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $194.98 / $331.13	Facility		$91.20	$194.98	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $53.70	Professional		$33.88	$33.88	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $54.95	Facility		$36.31	$45.71	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $79.43	Professional		$36.31	$41.69	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $60.26	Facility		$36.31	$38.02	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $38.90	Professional		$36.31	$36.31	$38.90