Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.10 / $41.10 / $41.10	Facility		$41.10	$41.10	$41.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $40.11 / $163.19	Professional		$33.94	$40.11	$163.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $45.18 / $53.83	Professional		$33.89	$45.18	$53.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $39.97	Professional		$28.88	$33.97	$39.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $56.56 / $84.84	Professional		$45.24	$56.56	$84.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $15.48 / $42.50	Facility		$15.48	$15.48	$42.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $39.97 / $66.28	Professional		$28.88	$39.97	$66.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $23.99 / $36.13	Professional		$21.99	$23.99	$36.13