Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $47.86	Professional		$38.02	$38.02	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $407.38	Facility		$114.82	$239.88	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $43.65	Professional		$38.90	$38.90	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $95.50	Professional		$32.36	$48.98	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $134.90	Facility		$19.95	$44.67	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $125.89	Professional		$61.66	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $125.89	Professional		$50.12	$61.66	$125.89