Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $59.81 / $368.27	Professional		$54.11	$59.81	$368.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $88.15 / $105.03	Professional		$66.11	$88.15	$105.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $62.81	Professional		$45.85	$62.81	$62.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $110.35 / $165.52	Professional		$88.28	$110.35	$165.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $30.83 / $82.91	Facility		$30.83	$30.83	$82.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $129.31	Professional		$45.85	$62.81	$129.31
United Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $47.76 / $71.94	Professional		$43.36	$47.76	$71.94