Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $59.73 / $120.96	Facility		$59.73	$59.73	$120.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $39.95 / $96.77	Professional		$34.20	$39.95	$96.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $37.72 / $93.09	Professional		$37.72	$37.72	$93.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $65.62 / $138.24	Professional		$43.14	$65.62	$138.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $55.49 / $117.95	Professional		$31.05	$55.49	$117.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $81.02 / $86.77	Facility		$43.14	$81.02	$86.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $65.62 / $138.24	Professional		$43.14	$65.62	$138.24
United Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $62.58 / $151.30	Professional		$38.72	$62.58	$151.30