Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $71.93	Facility		$71.19	$71.19	$71.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $57.69 / $75.92	Professional		$48.30	$57.69	$75.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $39.63 / $44.64	Professional		$31.66	$39.63	$44.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $55.00 / $107.69	Professional		$36.00	$55.00	$107.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $85.00	Professional		$32.34	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $63.80 / $88.00	Facility		$46.66	$63.80	$88.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $106.80	Professional		$35.00	$50.00	$106.80
United Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $99.64 / $167.48	Professional		$68.25	$99.64	$167.48