Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $43.29	Facility		$43.29	$43.29	$43.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $59.10 / $219.89	Professional		$41.91	$59.10	$219.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $62.69 / $74.70	Professional		$47.02	$62.69	$74.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Facility		$62.01	$62.01	$62.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $62.01 / $62.01	Professional		$52.71	$62.01	$62.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $78.48 / $117.72	Professional		$62.78	$78.48	$117.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $22.47 / $62.01	Facility		$22.47	$22.47	$62.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $62.01 / $89.33	Professional		$52.71	$62.01	$89.33
United Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $46.00 / $49.82	Facility		$26.82	$46.00	$49.82
United Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $34.81 / $52.45	Professional		$32.18	$34.81	$52.45