Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $57.62 / $57.62	Facility		$57.62	$57.62	$57.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.06 / $46.66	Professional		$36.69	$37.06	$46.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $199.60 / $325.52	Facility		$81.00	$199.60	$325.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $38.61 / $58.85	Professional		$37.49	$38.61	$58.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $47.91	Facility		$36.69	$36.69	$47.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $50.50 / $65.46	Professional		$37.40	$50.50	$65.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $56.37	Facility		$36.69	$36.69	$56.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $46.41	Professional		$36.69	$36.69	$46.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $38.89	Professional		$36.69	$36.69	$38.89