Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.15 / $46.15 / $46.15	Facility		$46.15	$46.15	$46.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $41.44	Professional		$23.88	$23.88	$41.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.17 / $176.36 / $286.35	Facility		$69.17	$176.36	$286.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $85.00	Facility		$23.88	$23.88	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $23.88	Professional		$23.88	$23.88	$23.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $60.82 / $91.23	Professional		$45.13	$60.82	$91.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $48.36 / $319.89	Facility		$23.88	$48.36	$319.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $70.50	Professional		$23.88	$23.88	$70.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $25.31	Professional		$23.88	$23.88	$25.31