Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.22 / $30.22 / $30.22	Facility		$30.22	$30.22	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $46.41 / $172.67	Professional		$30.22	$46.41	$172.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $49.22 / $58.65	Professional		$36.92	$49.22	$58.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $36.72	Professional		$26.81	$36.72	$36.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $90.26 / $135.38	Professional		$72.20	$90.26	$135.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $46.32	Facility		$17.64	$17.64	$46.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $70.13	Professional		$26.81	$36.72	$70.13
United Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $27.32 / $41.16	Professional		$24.81	$27.32	$41.16