Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $40.72 / $40.72	Facility		$40.72	$40.72	$40.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $55.58 / $246.82	Professional		$38.54	$55.58	$246.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.02 / $362.67 / $642.26	Facility		$107.02	$362.67	$642.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $58.96 / $70.25	Professional		$44.22	$58.96	$70.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Facility		$48.15	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.15 / $48.15	Professional		$35.15	$48.15	$48.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $73.81 / $110.71	Professional		$59.04	$73.81	$110.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $55.46	Facility		$20.66	$20.66	$55.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.15 / $78.61	Professional		$35.15	$48.15	$78.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $36.64 / $48.98	Professional		$29.59	$36.64	$48.98