Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $144.54 / $147.91	Facility		$67.61	$144.54	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $295.12	Professional		$30.20	$41.69	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $398.11	Facility		$97.72	$245.47	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $51.29	Professional		$40.74	$40.74	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $95.50	Professional		$69.18	$69.18	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $131.83	Facility		$29.51	$58.88	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $64.57	Professional		$40.74	$51.29	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $26.92	Professional		$19.05	$19.05	$26.92