Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $162.18 / $165.96	Facility		$75.86	$162.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $128.82	Professional		$33.11	$39.81	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $47.86	Professional		$26.92	$30.90	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $91.20	Professional		$28.84	$57.54	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $81.28	Facility		$34.67	$54.95	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $67.61 / $107.15	Professional		$28.84	$67.61	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $45.71	Facility		$37.15	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $30.90	Professional		$21.38	$29.51	$30.90