Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $38.11 / $38.11	Facility		$38.11	$38.11	$38.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $58.52 / $221.80	Professional		$35.01	$58.52	$221.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $62.08 / $73.97	Professional		$46.56	$62.08	$73.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $76.31	Professional		$28.16	$28.16	$76.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $113.84 / $170.76	Professional		$91.07	$113.84	$170.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $58.41	Facility		$18.77	$18.77	$58.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $38.57 / $91.07	Professional		$28.16	$38.57	$91.07
United Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $28.82 / $28.82	Facility		$28.82	$28.82	$28.82
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $29.08 / $43.80	Professional		$26.40	$29.08	$43.80