Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $46.86 / $46.86	Facility		$46.86	$46.86	$46.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $71.95 / $216.60	Professional		$43.05	$71.95	$216.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.25 / $76.33 / $90.95	Professional		$57.25	$76.33	$90.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $52.95	Professional		$38.65	$52.95	$52.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $95.55 / $143.32	Professional		$76.44	$95.55	$143.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $23.08 / $71.81	Facility		$23.08	$23.08	$71.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $86.29	Professional		$38.65	$52.95	$86.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $35.75 / $53.86	Professional		$33.04	$35.75	$53.86