Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $50.60 / $50.60	Facility		$50.60	$50.60	$50.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $77.70 / $289.22	Professional		$50.60	$77.70	$289.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $82.43 / $98.22	Professional		$61.82	$82.43	$98.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $126.01	Professional		$41.84	$41.84	$126.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $103.19 / $154.78	Professional		$82.55	$103.19	$154.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $77.56	Facility		$29.54	$29.54	$77.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $57.32 / $120.30	Professional		$41.84	$57.32	$120.30
United Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $103.97 / $122.32	Facility		$103.97	$103.97	$122.32
United Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $45.77 / $68.94	Professional		$41.55	$45.77	$68.94