Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.13 / $40.70 / $53.96	Facility		$35.13	$40.70	$53.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $40.85 / $195.00	Professional		$34.86	$40.85	$195.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $352.18 / $623.46	Facility		$103.89	$352.18	$623.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $57.24 / $68.20	Professional		$42.93	$57.24	$68.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $46.70	Facility		$46.70	$46.70	$46.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $46.70 / $46.70	Professional		$34.09	$46.70	$46.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $71.65 / $107.47	Professional		$57.32	$71.65	$107.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $21.06 / $53.84	Facility		$21.06	$21.06	$53.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $46.70 / $81.67	Professional		$34.09	$46.70	$81.67
United Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $87.18	Facility		$74.09	$74.09	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $32.61 / $49.13	Professional		$29.61	$32.61	$49.13