Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $70.79	Professional		$30.20	$42.66	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $91.20	Professional		$48.98	$60.26	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $138.04	Professional		$38.90	$38.90	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $144.54	Professional		$75.86	$95.50	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $87.10	Facility		$22.91	$64.57	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $89.13	Professional		$38.90	$38.90	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $39.81 / $97.72	Facility		$27.54	$39.81	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $53.70	Professional		$32.36	$35.48	$53.70