Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $43.48	Facility		$43.48	$43.48	$43.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $66.77 / $335.79	Professional		$43.48	$66.77	$335.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $70.81 / $84.39	Professional		$53.12	$70.81	$84.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $64.62	Professional		$47.17	$64.62	$64.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $129.87 / $194.80	Professional		$103.89	$129.87	$194.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $28.11 / $66.62	Facility		$28.11	$28.11	$66.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $102.29	Professional		$47.17	$64.62	$102.29
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $43.55 / $65.59	Professional		$39.54	$43.55	$65.59