Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $29.69 / $60.18	Facility		$29.69	$29.69	$60.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $42.38 / $48.14	Professional		$29.69	$42.38	$48.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $36.22 / $70.89	Professional		$27.61	$36.22	$70.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $54.71 / $72.94	Professional		$34.58	$54.71	$72.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $46.93	Professional		$32.34	$32.34	$46.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $40.92 / $103.83	Facility		$30.59	$40.92	$103.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $66.44 / $92.01	Professional		$42.99	$66.44	$92.01
United Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $89.15 / $89.15	Facility		$89.15	$89.15	$89.15
United Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $33.20 / $94.81	Professional		$31.38	$33.20	$94.81