Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $47.02 / $47.02	Facility		$47.02	$47.02	$47.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $72.20 / $410.00	Professional		$57.60	$72.20	$410.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.06 / $471.38 / $834.47	Facility		$139.06	$471.38	$834.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $76.61 / $91.27	Professional		$57.46	$76.61	$91.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $129.97	Professional		$43.74	$43.74	$129.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $95.90 / $143.85	Professional		$76.72	$95.90	$143.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $68.64	Facility		$30.89	$30.89	$68.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $59.92 / $123.52	Professional		$43.74	$59.92	$123.52
United Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $47.84 / $72.06	Professional		$37.46	$47.84	$72.06