Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $67.47 / $67.47	Facility		$67.47	$67.47	$67.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.02 / $60.59	Professional		$47.55	$48.02	$60.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $258.44 / $625.62	Facility		$75.11	$258.44	$625.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $25.93 / $55.31	Professional		$25.93	$25.93	$55.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $47.55 / $92.49	Facility		$43.36	$47.55	$92.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $45.09 / $60.70	Professional		$34.69	$45.09	$60.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $47.55 / $92.49	Facility		$43.36	$47.55	$92.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $47.55 / $47.55	Professional		$30.41	$47.55	$47.55
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $50.40	Professional		$47.55	$47.55	$50.40