Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $41.17	Professional		$29.98	$30.28	$41.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.38 / $153.72 / $258.20	Facility		$62.38	$153.72	$258.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $25.63 / $38.92	Professional		$25.63	$25.63	$38.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.98 / $36.01	Facility		$29.94	$29.98	$36.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $29.98	Professional		$29.98	$29.98	$29.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $38.89 / $50.41	Professional		$28.81	$38.89	$50.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.98 / $38.07	Facility		$29.94	$29.98	$38.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $36.01	Professional		$29.98	$29.98	$36.01
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $31.78	Professional		$29.98	$29.98	$31.78