Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $26.60 / $60.22	Facility		$26.60	$26.60	$60.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $60.22 / $88.90	Professional		$52.61	$60.22	$88.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $225.77 / $387.18	Facility		$64.80	$225.77	$387.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Facility		$53.87	$53.87	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Professional		$43.99	$43.99	$43.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.11 / $17.94 / $53.87	Facility		$1.11	$17.94	$53.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
United Facility/Professional Facility Modifier Low / Median / High Price $67.52 / $67.52 / $67.52	Facility		$67.52	$67.52	$67.52
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Professional		$52.82	$52.82	$52.82