Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $83.18 / $85.11	Facility		$38.90	$83.18	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $173.78	Professional		$18.20	$25.12	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $181.97 / $281.84	Facility		$77.62	$181.97	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $56.23	Professional		$23.44	$39.81	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $67.61	Professional		$40.74	$40.74	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $47.86 / $77.62	Facility		$18.20	$47.86	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $56.23	Professional		$23.44	$37.15	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $15.85	Professional		$10.96	$15.14	$15.85