Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $44.76 / $44.76	Facility		$44.76	$44.76	$44.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $68.73 / $263.33	Professional		$41.11	$68.73	$263.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $72.91 / $86.87	Professional		$54.68	$72.91	$86.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $42.77	Professional		$31.22	$42.77	$42.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $91.27 / $136.90	Professional		$73.01	$91.27	$136.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $22.05 / $68.59	Facility		$22.05	$22.05	$68.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $42.77 / $81.94	Professional		$31.22	$42.77	$81.94
United Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $33.85 / $36.83	Facility		$26.31	$33.85	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $34.15 / $51.44	Professional		$31.01	$34.15	$51.44