Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $123.03	Professional		$57.54	$77.62	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $131.83	Professional		$89.13	$117.49	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $213.80	Professional		$60.26	$60.26	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $323.59	Professional		$173.78	$213.80	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $158.49	Facility		$41.69	$107.15	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $169.82	Professional		$60.26	$60.26	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $177.83	Facility		$50.12	$72.44	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $97.72	Professional		$58.88	$64.57	$97.72