Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $57.39 / $57.39	Facility		$57.39	$57.39	$57.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $88.13 / $337.70	Professional		$57.39	$88.13	$337.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $93.50 / $111.40	Professional		$70.13	$93.50	$111.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $75.70	Facility		$75.70	$75.70	$75.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $143.90	Professional		$55.27	$55.27	$143.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.63 / $117.04 / $175.56	Professional		$93.63	$117.04	$175.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $87.95	Facility		$33.92	$33.92	$87.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $75.70 / $137.16	Professional		$55.27	$75.70	$137.16
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $52.55 / $79.16	Professional		$48.58	$52.55	$79.16