Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $57.92	Facility		$57.92	$57.92	$57.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $46.27 / $58.33	Professional		$39.04	$46.27	$58.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $74.56	Facility		$74.56	$74.56	$74.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $34.22 / $66.59	Professional		$31.96	$34.22	$66.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $71.02 / $91.71	Professional		$48.98	$71.02	$91.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $69.70 / $83.65	Professional		$69.70	$69.70	$83.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $51.67 / $68.00	Facility		$37.77	$51.67	$68.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $46.88 / $87.61	Professional		$22.00	$46.88	$87.61
United Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $74.87 / $112.96	Professional		$51.48	$74.87	$112.96