Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $95.98 / $95.98	Facility		$27.95	$95.98	$95.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $42.92 / $159.66	Professional		$27.95	$42.92	$159.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $277.39 / $495.99	Facility		$82.65	$277.39	$495.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.53 / $54.25	Professional		$34.15	$45.53	$54.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.22 / $33.22	Professional		$24.25	$33.22	$33.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $57.00 / $85.50	Professional		$45.60	$57.00	$85.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $42.83	Facility		$16.30	$16.30	$42.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.22 / $64.84	Professional		$24.25	$33.22	$64.84
United Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $25.27 / $38.06	Professional		$22.95	$25.27	$38.06