Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Facility		$40.65	$40.65	$40.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $55.50 / $171.73	Professional		$33.20	$55.50	$171.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $58.87 / $70.15	Professional		$44.15	$58.87	$70.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Facility		$34.54	$34.54	$34.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.54 / $34.54	Professional		$25.21	$34.54	$34.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $73.70 / $110.55	Professional		$58.96	$73.70	$110.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $17.80 / $55.39	Facility		$17.80	$17.80	$55.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $34.54 / $69.34	Professional		$25.21	$34.54	$69.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $29.40 / $42.20	Professional		$25.50	$29.40	$42.20