Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $49.63 / $49.63	Facility		$49.63	$49.63	$49.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $48.43 / $197.03	Professional		$40.97	$48.43	$197.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $54.54 / $64.98	Professional		$40.90	$54.54	$64.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $41.02	Facility		$41.02	$41.02	$41.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $34.86 / $83.87	Professional		$34.86	$34.86	$83.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $68.28 / $81.94	Professional		$54.62	$68.28	$81.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $18.69 / $51.31	Facility		$18.69	$18.69	$51.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $46.87 / $69.65	Professional		$34.86	$46.87	$69.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $28.96 / $43.61	Professional		$26.54	$28.96	$43.61