Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $54.93 / $109.86	Facility		$27.47	$54.93	$109.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $43.94 / $235.47	Professional		$27.47	$43.94	$235.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $29.96 / $36.61	Professional		$22.47	$29.96	$36.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $23.80 / $23.80	Facility		$23.80	$23.80	$23.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $32.86 / $41.37	Professional		$32.86	$32.86	$41.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $59.69 / $59.69	Professional		$56.76	$59.69	$59.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $46.14 / $117.68	Facility		$23.80	$46.14	$117.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $46.32 / $52.73	Professional		$42.11	$46.32	$52.73
United Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $32.96 / $54.93	Facility		$21.97	$32.96	$54.93
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $21.97	Professional		$15.38	$15.38	$21.97