Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $61.30 / $61.30	Facility		$61.30	$61.30	$61.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $83.68 / $346.86	Professional		$54.15	$83.68	$346.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $88.77 / $105.77	Professional		$66.58	$88.77	$105.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $59.82	Facility		$59.82	$59.82	$59.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $59.82 / $59.82	Professional		$43.67	$59.82	$59.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.89 / $111.12 / $166.68	Professional		$88.89	$111.12	$166.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $83.52	Facility		$29.04	$29.04	$83.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $59.82 / $130.22	Professional		$43.67	$59.82	$130.22
United Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $120.21	Facility		$102.18	$102.18	$120.21
United Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $44.98 / $69.31	Professional		$41.59	$44.98	$69.31