Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $44.62 / $44.62	Facility		$44.62	$44.62	$44.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.27 / $38.43	Professional		$27.99	$28.27	$38.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.05 / $457.40 / $745.32	Facility		$180.05	$457.40	$745.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.24 / $27.24 / $36.28	Professional		$27.24	$27.24	$36.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.71 / $27.99 / $82.36	Facility		$23.71	$27.99	$82.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $36.52 / $49.80	Professional		$33.20	$36.52	$49.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $27.99 / $82.36	Facility		$24.53	$27.99	$82.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $27.99 / $27.99	Professional		$23.71	$27.99	$27.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $29.67	Professional		$27.99	$27.99	$29.67