Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $50.34 / $50.34	Facility		$50.34	$50.34	$50.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.98 / $45.21	Professional		$26.71	$26.98	$45.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $32.17 / $51.39	Professional		$32.17	$32.17	$51.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $85.00	Facility		$26.71	$26.71	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $38.72 / $60.00	Professional		$35.20	$38.72	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $27.78 / $61.09	Facility		$26.71	$27.78	$61.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $40.26	Professional		$26.71	$26.71	$40.26
United Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $30.32 / $50.03	Facility		$30.32	$30.32	$50.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $28.31	Professional		$26.71	$26.71	$28.31