Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $34.24 / $34.24	Facility		$34.24	$34.24	$34.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $52.59 / $264.45	Professional		$34.24	$52.59	$264.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.16 / $62.95	Professional		$33.11	$44.16	$62.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Facility		$52.17	$52.17	$52.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $52.17 / $52.17	Professional		$44.34	$52.17	$52.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $80.97 / $121.45	Professional		$64.77	$80.97	$121.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $18.91 / $52.17	Facility		$18.91	$18.91	$52.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $52.17 / $71.26	Professional		$38.97	$52.17	$71.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $41.86 / $65.68	Professional		$39.40	$41.86	$65.68