Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Facility		$51.45	$51.45	$51.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $33.28 / $46.20	Professional		$32.96	$33.28	$46.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $139.60 / $227.47	Facility		$54.95	$139.60	$227.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $40.38	Professional		$29.91	$29.91	$40.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $85.00	Facility		$32.96	$32.96	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Professional		$32.96	$32.96	$32.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $39.60 / $54.00	Professional		$36.00	$39.60	$54.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $41.86	Facility		$32.96	$32.96	$41.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $40.38	Professional		$32.96	$32.96	$40.38
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $32.96 / $32.96	Facility		$32.96	$32.96	$32.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $32.96 / $34.94	Professional		$32.96	$32.96	$34.94