Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $84.71 / $314.97	Professional		$55.16	$84.71	$314.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $89.86 / $107.07	Professional		$67.40	$89.86	$107.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $66.72	Professional		$48.71	$66.72	$66.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $112.49 / $168.73	Professional		$89.99	$112.49	$168.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $32.18 / $84.54	Facility		$32.18	$32.18	$84.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $127.93	Professional		$48.71	$66.72	$127.93
United Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $49.85 / $75.09	Professional		$45.27	$49.85	$75.09