Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $58.03 / $108.66	Professional		$25.42	$58.03	$108.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $54.88 / $91.38	Professional		$22.67	$54.88	$91.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $86.45 / $150.27	Professional		$38.54	$86.45	$150.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $70.04 / $124.84	Professional		$32.34	$70.04	$124.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $65.09 / $112.85	Facility		$30.75	$65.09	$112.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $87.75 / $150.27	Professional		$40.99	$87.75	$150.27
United Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $113.73 / $150.11	Professional		$75.81	$113.73	$150.11