Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $26.23 / $26.23	Facility		$26.23	$26.23	$26.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $35.79 / $133.18	Professional		$25.43	$35.79	$133.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $37.97 / $45.25	Professional		$28.49	$37.97	$45.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Facility		$30.59	$30.59	$30.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $30.59 / $30.59	Professional		$22.33	$30.59	$30.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $47.54 / $71.31	Professional		$38.03	$47.54	$71.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $31.01 / $31.01	Facility		$30.59	$31.01	$31.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $30.59 / $55.72	Professional		$22.33	$30.59	$55.72
United Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $47.98 / $56.45	Facility		$47.98	$47.98	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $23.03 / $33.94	Professional		$19.53	$23.03	$33.94