Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $58.14 / $58.14	Facility		$58.14	$58.14	$58.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $63.26 / $258.00	Professional		$33.00	$63.26	$258.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $94.71 / $112.85	Professional		$71.03	$94.71	$112.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Facility		$65.81	$65.81	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $65.81	Professional		$48.04	$65.81	$65.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $118.56 / $177.84	Professional		$94.84	$118.56	$177.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $33.93 / $89.09	Facility		$33.93	$33.93	$89.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $134.86	Professional		$48.04	$65.81	$134.86
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $119.37 / $140.44	Facility		$119.37	$119.37	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $52.55 / $79.16	Professional		$47.72	$52.55	$79.16