Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $223.87	Professional		$28.84	$52.48	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $91.20	Professional		$29.51	$48.98	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $74.13	Professional		$26.30	$46.77	$74.13
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 $35.48 / $57.54 / $112.20	Facility		$35.48	$57.54	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $120.23	Professional		$38.90	$64.57	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $81.28	Professional		$20.42	$30.90	$81.28