Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $229.09 / $229.09	Facility		$102.33	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $83.18	Professional		$43.65	$54.95	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $95.50	Facility		$75.86	$79.43	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Facility		$50.12	$50.12	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $60.26 / $89.13	Professional		$23.44	$60.26	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $61.66 / $107.15	Facility		$42.66	$61.66	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $69.18 / $120.23	Professional		$23.99	$69.18	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $741.31 / $741.31	Facility		$338.84	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $33.11	Professional		$19.50	$30.90	$33.11