Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $47.86 / $107.15	Facility		$33.88	$47.86	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $57.54	Professional		$30.20	$30.90	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $186.21 / $288.40	Facility		$79.43	$186.21	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $75.86 / $85.11	Facility		$30.90	$75.86	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $91.20	Professional		$60.26	$64.57	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $309.03	Facility		$30.90	$38.90	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $75.86	Professional		$38.90	$38.90	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $32.36	Professional		$27.54	$30.90	$32.36