Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $83.18	Professional		$56.23	$67.61	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $54.95	Professional		$32.36	$34.67	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $123.03	Professional		$70.79	$91.20	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $109.65	Facility		$60.26	$74.13	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $112.20	Professional		$60.26	$85.11	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $141.25	Professional		$69.18	$100.00	$141.25