Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Facility		$43.31	$43.31	$43.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $62.40 / $62.40	Professional		$29.52	$62.40	$62.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $123.07 / $150.00	Professional		$92.30	$123.07	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $94.46	Professional		$34.40	$47.13	$94.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $150.00 / $225.00	Professional		$60.00	$150.00	$225.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $38.85 / $113.11	Facility		$38.85	$38.85	$113.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $47.13	Professional		$34.40	$47.13	$47.13
United Facility/Professional Professional Modifier Low / Median / High Price $47.58 / $50.67 / $86.92	Professional		$47.58	$50.67	$86.92