Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $46.65 / $46.65	Facility		$46.65	$46.65	$46.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.76 / $33.67	Professional		$26.51	$26.76	$33.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $274.62 / $445.88	Facility		$107.71	$274.62	$445.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $45.21 / $46.57	Professional		$35.65	$45.21	$46.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $26.51 / $73.12	Facility		$26.51	$26.51	$73.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $53.94 / $87.06	Professional		$49.75	$53.94	$87.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $26.51 / $65.22	Facility		$26.51	$26.51	$65.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $54.35	Professional		$26.51	$26.51	$54.35
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $28.10	Professional		$26.51	$26.51	$28.10