Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $100.81 / $201.63	Facility		$50.41	$100.81	$201.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $80.65 / $432.16	Professional		$50.41	$80.65	$432.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $54.98 / $63.18	Professional		$41.23	$54.98	$63.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $43.69 / $43.69	Facility		$43.69	$43.69	$43.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $77.23 / $107.04	Professional		$34.13	$77.23	$107.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $36.97	Professional		$36.97	$36.97	$36.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $80.65 / $131.43	Facility		$55.45	$80.65	$131.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $107.04	Professional		$67.20	$67.20	$107.04
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $40.33 / $45.03	Professional		$28.23	$40.33	$45.03