Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Facility		$48.69	$48.69	$48.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $66.47 / $247.27	Professional		$47.11	$66.47	$247.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $70.50 / $84.01	Professional		$52.88	$70.50	$84.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Facility		$69.70	$69.70	$69.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $69.70	Professional		$59.25	$69.70	$69.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.60 / $88.26 / $132.38	Professional		$70.60	$88.26	$132.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $25.26 / $69.70	Facility		$25.26	$25.26	$69.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $69.70 / $100.43	Professional		$59.25	$69.70	$100.43
United Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $39.13 / $58.96	Professional		$36.18	$39.13	$58.96