Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $93.33 / $95.50	Facility		$43.65	$93.33	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $194.98	Professional		$19.05	$23.99	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $186.21 / $316.23	Facility		$72.44	$186.21	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $44.67	Professional		$26.30	$33.11	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $75.86	Professional		$45.71	$45.71	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $37.15 / $87.10	Facility		$19.50	$37.15	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $44.67	Professional		$22.39	$34.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.30 / $17.38	Professional		$12.02	$12.30	$17.38