Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.64 / $54.64 / $54.64	Facility		$54.64	$54.64	$54.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $74.59 / $224.61	Professional		$46.76	$74.59	$224.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $79.13 / $94.28	Professional		$59.35	$79.13	$94.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Facility		$50.36	$50.36	$50.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $50.36	Professional		$36.76	$50.36	$50.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $99.05 / $148.57	Professional		$79.23	$99.05	$148.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $25.07 / $74.43	Facility		$25.07	$25.07	$74.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $50.36 / $109.54	Professional		$36.76	$50.36	$109.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $38.84 / $58.52	Professional		$35.90	$38.84	$58.52