Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $37.17 / $37.17	Facility		$37.17	$37.17	$37.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $59.18 / $301.00	Professional		$41.00	$59.18	$301.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.91 / $448.71 / $779.65	Facility		$129.91	$448.71	$779.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $48.86 / $68.25	Professional		$36.65	$48.86	$68.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $67.14	Facility		$67.14	$67.14	$67.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $67.14	Professional		$49.01	$67.14	$67.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $89.60 / $125.44	Professional		$62.72	$89.60	$125.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $31.74 / $74.06	Facility		$31.74	$31.74	$74.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $67.14 / $101.47	Professional		$49.01	$67.14	$101.47
United Facility/Professional Professional Modifier Low / Median / High Price $44.44 / $49.17 / $74.06	Professional		$44.44	$49.17	$74.06