Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.81 / $43.81 / $43.81	Facility		$43.81	$43.81	$43.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $67.28 / $250.22	Professional		$43.81	$67.28	$250.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $71.37 / $85.04	Professional		$53.53	$71.37	$85.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $109.31	Professional		$40.89	$40.89	$109.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $89.34 / $134.01	Professional		$71.47	$89.34	$134.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $25.57 / $67.14	Facility		$25.57	$25.57	$67.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $56.02 / $104.06	Professional		$40.89	$56.02	$104.06
United Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $39.60 / $59.66	Professional		$36.61	$39.60	$59.66