Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $48.26 / $48.26	Facility		$48.26	$48.26	$48.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $74.11 / $354.91	Professional		$48.26	$74.11	$354.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $78.63 / $93.68	Professional		$58.97	$78.63	$93.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Facility		$62.72	$62.72	$62.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $62.72	Professional		$45.79	$62.72	$62.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $144.18 / $216.27	Professional		$115.34	$144.18	$216.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $73.95	Facility		$29.71	$29.71	$73.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $115.34	Professional		$45.79	$62.72	$115.34
United Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $104.56 / $123.01	Facility		$104.56	$104.56	$123.01
United Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $46.03 / $69.34	Professional		$41.80	$46.03	$69.34