Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $48.31 / $48.31	Facility		$48.31	$48.31	$48.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $47.15 / $191.82	Professional		$39.89	$47.15	$191.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.40 / $326.81 / $578.48	Facility		$96.40	$326.81	$578.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $39.94	Facility		$39.94	$39.94	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $39.94 / $46.99	Professional		$33.95	$39.94	$46.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $66.48 / $99.72	Professional		$53.18	$66.48	$99.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $49.96	Facility		$18.20	$18.20	$49.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $46.99 / $77.90	Professional		$33.95	$46.99	$77.90
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $28.19 / $42.47	Professional		$25.84	$28.19	$42.47