Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $73.80 / $136.43	Professional		$70.62	$73.80	$136.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $56.98 / $159.22	Professional		$43.43	$56.98	$159.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $91.17 / $137.44	Professional		$50.51	$91.17	$137.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $92.70	Professional		$32.34	$32.34	$92.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $84.78 / $111.76	Facility		$77.08	$84.78	$111.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $120.18 / $164.13	Professional		$61.50	$120.18	$164.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $50.35 / $203.82	Professional		$39.61	$50.35	$203.82