Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $125.89 / $128.82	Facility		$58.88	$125.89	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $83.18	Professional		$25.70	$35.48	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $38.90	Professional		$23.99	$32.36	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $44.67	Professional		$35.48	$35.48	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $114.82	Facility		$26.30	$61.66	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $56.23	Professional		$35.48	$52.48	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $23.44	Professional		$16.60	$16.60	$23.44