Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.34 / $50.34 / $50.34	Facility		$50.34	$50.34	$50.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $68.72 / $255.67	Professional		$48.69	$68.72	$255.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $72.90 / $86.86	Professional		$54.68	$72.90	$86.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $50.66	Facility		$50.66	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $50.66	Professional		$36.97	$50.66	$50.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $91.26 / $136.88	Professional		$73.00	$91.26	$136.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $26.11 / $68.58	Facility		$26.11	$26.11	$68.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $103.85	Professional		$36.97	$50.66	$103.85
United Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $44.63 / $61.89	Professional		$37.39	$44.63	$61.89