Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $83.61 / $167.22	Facility		$41.81	$83.61	$167.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $66.89 / $358.41	Professional		$41.81	$66.89	$358.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $45.60 / $52.40	Professional		$34.20	$45.60	$52.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $36.22 / $36.22	Facility		$36.22	$36.22	$36.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $64.01 / $103.94	Professional		$49.92	$64.01	$103.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $90.86 / $90.86	Professional		$86.40	$90.86	$90.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $57.66 / $72.56	Facility		$36.22	$57.66	$72.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $69.58 / $91.14	Professional		$59.67	$69.58	$91.14
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $24.50 / $33.44	Professional		$23.41	$24.50	$33.44