Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Facility		$30.22	$30.22	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $34.22 / $172.67	Professional		$30.22	$34.22	$172.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.33 / $299.93 / $536.10	Facility		$89.33	$299.93	$536.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $49.22 / $58.65	Professional		$36.92	$49.22	$58.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $34.22	Facility		$34.22	$34.22	$34.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $34.22 / $34.22	Professional		$24.98	$34.22	$34.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $61.61 / $92.41	Professional		$49.28	$61.61	$92.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $46.32	Facility		$17.64	$17.64	$46.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $34.22 / $70.13	Professional		$24.98	$34.22	$70.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $27.32 / $41.16	Professional		$24.81	$27.32	$41.16