Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $89.13 / $239.88	Professional		$21.88	$89.13	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $117.49	Professional		$25.12	$33.11	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $107.15	Professional		$29.51	$47.86	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $114.82	Facility		$44.67	$69.18	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $107.15	Professional		$47.86	$77.62	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $74.13	Professional		$23.44	$38.90	$74.13