Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $190.55 / $194.98	Facility		$87.10	$190.55	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $389.05	Professional		$40.74	$54.95	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $54.95	Professional		$36.31	$47.86	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $91.20	Professional		$52.48	$66.07	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $74.13 / $131.83	Facility		$38.02	$74.13	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $93.33	Professional		$45.71	$70.79	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $35.48	Professional		$24.55	$25.12	$35.48