Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $43.70	Facility		$43.70	$43.70	$43.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $67.11 / $246.89	Professional		$43.70	$67.11	$246.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $71.19 / $84.82	Professional		$53.39	$71.19	$84.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $65.20	Professional		$47.60	$65.20	$65.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $89.12 / $133.68	Professional		$71.29	$89.12	$133.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $24.35 / $66.95	Facility		$24.35	$24.35	$66.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $91.88	Professional		$47.60	$65.20	$91.88
United Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $37.72 / $56.82	Professional		$34.25	$37.72	$56.82