Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.61 / $94.61 / $94.61	Facility		$94.61	$94.61	$94.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $78.61 / $94.61	Professional		$66.41	$78.61	$94.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.50 / $1.61	Professional		$1.20	$1.50	$1.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.93 / $142.79	Professional		$60.00	$85.93	$142.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.12 / $86.82 / $112.99	Facility		$63.12	$86.82	$112.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $65.00 / $125.21	Professional		$25.00	$65.00	$125.21
United Facility/Professional Professional Modifier Low / Median / High Price $87.35 / $120.36 / $186.43	Professional		$87.35	$120.36	$186.43