Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.26 / $87.26 / $100.91	Facility		$87.26	$87.26	$100.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $77.87 / $100.91	Professional		$63.13	$77.87	$100.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $52.74 / $70.31	Professional		$38.96	$52.74	$70.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $68.31 / $141.13	Professional		$36.00	$68.31	$141.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.27 / $80.36 / $110.26	Facility		$59.27	$80.36	$110.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $65.55 / $141.13	Professional		$27.00	$65.55	$141.13
United Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $124.99 / $202.49	Professional		$94.09	$124.99	$202.49