Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $29.46 / $29.46	Facility		$29.46	$29.46	$29.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $45.24 / $168.16	Professional		$29.46	$45.24	$168.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $47.99 / $57.18	Professional		$35.99	$47.99	$57.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $43.99 / $43.99	Professional		$32.11	$43.99	$43.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $88.01 / $132.01	Professional		$70.40	$88.01	$132.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $17.19 / $45.14	Facility		$17.19	$17.19	$45.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $43.99 / $68.30	Professional		$32.11	$43.99	$68.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $26.63 / $40.11	Professional		$24.17	$26.63	$40.11