Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $28.04 / $28.04	Facility		$28.04	$28.04	$28.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $38.28 / $142.37	Professional		$27.14	$38.28	$142.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $40.61 / $48.38	Professional		$30.46	$40.61	$48.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $40.14	Facility		$40.14	$40.14	$40.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $40.14 / $40.14	Professional		$34.11	$40.14	$40.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.66 / $50.83 / $76.24	Professional		$40.66	$50.83	$76.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $14.55 / $40.14	Facility		$14.55	$14.55	$40.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $40.14 / $57.83	Professional		$34.11	$40.14	$57.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $24.62 / $34.49	Professional		$20.84	$24.62	$34.49