Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.89 / $29.89 / $29.89	Facility		$29.89	$29.89	$29.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $32.08 / $139.56	Professional		$15.62	$32.08	$139.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $36.13 / $43.05	Professional		$27.10	$36.13	$43.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $29.06	Facility		$29.06	$29.06	$29.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $29.06 / $36.34	Professional		$24.70	$29.06	$36.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $45.23 / $67.84	Professional		$36.18	$45.23	$67.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $33.97	Facility		$13.24	$13.24	$33.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $36.34 / $53.00	Professional		$24.70	$36.34	$53.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $20.51 / $30.90	Professional		$18.52	$20.51	$30.90