Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $213.80 / $223.87	Facility		$100.00	$213.80	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $120.23	Professional		$46.77	$63.10	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $63.10	Professional		$35.48	$41.69	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $77.62 / $107.15	Professional		$33.88	$77.62	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $117.49	Facility		$54.95	$81.28	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $79.43 / $125.89	Professional		$33.88	$79.43	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $60.26	Facility		$50.12	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $41.69	Professional		$28.18	$39.81	$41.69