Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.04 / $51.87	Professional		$36.67	$37.04	$51.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $221.63 / $359.84	Facility		$86.93	$221.63	$359.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $36.67 / $85.00	Facility		$36.67	$36.67	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $51.48 / $70.92	Professional		$46.80	$51.48	$70.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $58.50 / $378.49	Facility		$36.67	$58.50	$378.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $58.50	Professional		$36.67	$36.67	$58.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $38.86	Professional		$36.67	$36.67	$38.86