Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $50.82 / $113.78	Facility		$50.82	$50.82	$113.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $66.34 / $125.13	Professional		$62.28	$66.34	$125.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $70.59 / $136.16	Professional		$50.47	$70.59	$136.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $102.69 / $133.00	Professional		$73.87	$102.69	$133.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.64	Professional		$32.34	$32.34	$108.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $93.62 / $99.93	Facility		$77.37	$93.62	$99.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $102.69 / $133.00	Professional		$76.20	$102.69	$133.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $92.03 / $143.56	Professional		$84.31	$92.03	$143.56