Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $35.02 / $35.02	Facility		$35.02	$35.02	$35.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $53.78 / $206.05	Professional		$32.17	$53.78	$206.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $57.05 / $67.97	Professional		$42.79	$57.05	$67.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $39.15	Professional		$28.59	$39.15	$39.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $104.61 / $156.91	Professional		$83.68	$104.61	$156.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $17.25 / $53.67	Facility		$17.25	$17.25	$53.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $39.15 / $83.69	Professional		$28.59	$39.15	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $26.72 / $40.25	Professional		$24.26	$26.72	$40.25