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 / $87.67 / $326.32	Professional		$57.09	$87.67	$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 $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $70.70	Professional		$51.62	$70.70	$70.70
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 $48.17 / $75.80 / $75.80	Facility		$48.17	$75.80	$75.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $132.55	Professional		$51.62	$70.70	$132.55
United Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $51.62 / $80.98	Professional		$48.59	$51.62	$80.98