Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.09 / $57.09 / $57.09	Facility		$57.09	$57.09	$57.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $68.34 / $326.32	Professional		$57.09	$68.34	$326.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $93.00 / $110.81	Professional		$69.75	$93.00	$110.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $64.66	Facility		$64.66	$64.66	$64.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $64.66	Professional		$47.20	$64.66	$64.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $116.42 / $174.63	Professional		$93.13	$116.42	$174.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $33.32 / $87.49	Facility		$33.32	$33.32	$87.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $64.66 / $132.55	Professional		$47.20	$64.66	$132.55
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $51.62 / $77.76	Professional		$46.87	$51.62	$77.76