Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $78.87 / $115.50	Professional		$47.78	$78.87	$115.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.00 / $137.57 / $137.75	Professional	25	$105.00	$137.57	$137.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $61.77 / $84.72	Professional		$35.25	$61.77	$84.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $82.03 / $132.03	Professional		$46.87	$82.03	$132.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $112.74 / $166.88	Professional		$32.34	$112.74	$166.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $65.59 / $101.33	Facility		$37.36	$65.59	$101.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $79.76 / $132.03	Professional		$46.87	$79.76	$132.03
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $98.00 / $149.38	Professional		$53.00	$98.00	$149.38