Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $87.93 / $175.86	Facility		$43.97	$87.93	$175.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $70.34 / $376.93	Professional		$43.97	$70.34	$376.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $47.95 / $55.10	Professional		$35.96	$47.95	$55.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $38.10 / $38.10	Facility		$38.10	$38.10	$38.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $66.36 / $106.33	Professional		$52.40	$66.36	$106.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $95.55 / $95.55	Professional		$90.86	$95.55	$95.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $59.14 / $74.44	Facility		$38.10	$59.14	$74.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $71.19 / $93.24	Professional		$61.08	$71.19	$93.24
United Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $52.76	Facility		$52.76	$52.76	$52.76
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $24.73 / $35.17	Professional		$24.62	$24.73	$35.17