Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $83.84 / $167.67	Facility		$41.92	$83.84	$167.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $67.06 / $359.37	Professional		$41.92	$67.06	$359.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $45.72 / $52.54	Professional		$29.72	$45.72	$52.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $64.43 / $80.54	Professional		$25.56	$64.43	$80.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $30.74 / $30.74	Professional		$30.74	$30.74	$30.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $67.06 / $109.31	Facility		$19.71	$67.06	$109.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $55.89 / $80.40	Professional		$54.02	$55.89	$80.40
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $33.25 / $34.27	Professional		$23.47	$33.25	$34.27