Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.38 / $80.38 / $80.38	Facility		$80.38	$80.38	$80.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $66.73 / $80.38	Professional		$56.34	$66.73	$80.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $34.36 / $55.42	Professional		$32.08	$34.36	$55.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $93.85 / $121.58	Professional		$70.40	$93.85	$121.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $67.92 / $81.50	Professional		$67.92	$67.92	$81.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $74.95 / $103.74	Facility		$53.92	$74.95	$103.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $32.00 / $121.29	Professional		$22.00	$32.00	$121.29
United Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $100.44 / $158.01	Professional		$66.95	$100.44	$158.01