Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.51 / $64.77	Professional		$51.00	$51.51	$64.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $221.45 / $384.78	Facility		$95.74	$221.45	$384.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $52.40 / $81.16	Professional		$49.79	$52.40	$81.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $51.00 / $56.10	Facility		$12.26	$51.00	$56.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $62.66	Professional		$51.00	$51.00	$62.66
United Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $51.00 / $51.00	Professional		$49.79	$51.00	$51.00