Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $29.67 / $29.67	Facility		$29.67	$29.67	$29.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $39.97 / $232.77	Professional		$29.67	$39.97	$232.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $48.33 / $57.59	Professional		$36.25	$48.33	$57.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $48.99	Professional		$35.76	$48.99	$48.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $88.62 / $132.93	Professional		$70.89	$88.62	$132.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $48.99	Facility		$19.48	$19.48	$48.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $84.46	Professional		$35.76	$48.99	$84.46
United Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $30.19 / $45.47	Professional		$27.40	$30.19	$45.47