Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $49.72	Facility		$49.72	$49.72	$49.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $76.36 / $331.52	Professional		$49.72	$76.36	$331.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $81.00 / $96.51	Professional		$60.75	$81.00	$96.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $123.23	Professional		$39.31	$39.31	$123.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.12 / $101.40 / $152.10	Professional		$81.12	$101.40	$152.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $27.76 / $66.08	Facility		$27.76	$27.76	$66.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $122.35	Professional		$39.31	$53.85	$122.35
United Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $43.00 / $64.76	Professional		$39.75	$43.00	$64.76