Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $57.64 / $62.95	Facility		$57.64	$57.64	$62.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $50.21 / $60.49	Professional		$48.39	$50.21	$60.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $101.80 / $171.00	Facility		$28.62	$101.80	$171.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $51.42 / $85.00	Facility		$51.42	$51.42	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $51.42 / $51.42	Professional		$51.42	$51.42	$51.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $14.52 / $20.62	Professional		$13.75	$14.52	$20.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $11.82 / $51.42	Facility		$8.89	$11.82	$51.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $51.42 / $51.42	Professional		$11.05	$51.42	$51.42
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $53.42	Professional		$50.40	$50.40	$53.42