Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $50.51 / $50.51	Facility		$50.51	$50.51	$50.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.83	Professional		$32.15	$32.15	$40.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $178.48 / $290.83	Facility		$70.26	$178.48	$290.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $31.52 / $51.57	Professional		$31.52	$31.52	$51.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $32.38	Facility		$32.15	$32.15	$32.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Professional		$32.15	$32.15	$32.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $43.80 / $56.78	Professional		$32.45	$43.80	$56.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.15 / $40.83	Facility		$32.15	$32.15	$40.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $40.71	Professional		$32.15	$32.15	$40.71
United Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $32.15 / $32.15	Professional		$32.15	$32.15	$32.15