Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $53.28 / $67.00	Professional		$52.75	$53.28	$67.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.16 / $220.10 / $382.43	Facility		$95.16	$220.10	$382.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $51.79 / $84.42	Professional		$48.87	$51.79	$84.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $52.75 / $66.44	Facility		$24.74	$52.75	$66.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $61.09	Professional		$52.75	$52.75	$61.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75