Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $46.30 / $46.30	Facility		$46.30	$46.30	$46.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $50.40 / $264.45	Professional		$46.30	$50.40	$264.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $75.43 / $89.87	Professional		$56.57	$75.43	$89.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $58.60	Professional		$42.78	$58.60	$58.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $138.32 / $207.48	Professional		$110.65	$138.32	$207.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $27.03 / $70.95	Facility		$27.03	$27.03	$70.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $107.40	Professional		$42.78	$58.60	$107.40
United Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $41.86 / $63.06	Professional		$38.01	$41.86	$63.06