Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $42.66 / $95.50	Facility		$29.51	$42.66	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $54.95	Professional		$26.92	$26.92	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $50.12 / $51.29	Professional		$19.50	$50.12	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.11 / $89.13	Facility		$27.54	$33.11	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $56.23	Professional		$26.30	$30.20	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $28.18 / $107.15	Facility		$27.54	$28.18	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $33.11	Professional		$29.51	$29.51	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $28.84	Professional		$27.54	$27.54	$28.84