Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $47.66 / $47.66	Facility		$47.66	$47.66	$47.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $73.19 / $373.89	Professional		$47.66	$73.19	$373.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $77.64 / $92.51	Professional		$58.23	$77.64	$92.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $73.27	Facility		$73.27	$73.27	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $73.27 / $73.27	Professional		$53.49	$73.27	$73.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $97.19 / $145.78	Professional		$77.75	$97.19	$145.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $31.30 / $73.27	Facility		$31.30	$31.30	$73.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $73.27 / $113.89	Professional		$53.49	$73.27	$113.89
United Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $48.49 / $73.03	Professional		$44.02	$48.49	$73.03