Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $24.82 / $74.56	Facility		$24.82	$24.82	$74.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $62.86 / $176.54	Professional		$24.82	$62.86	$176.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $56.74 / $134.16	Professional		$53.90	$56.74	$134.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $63.94 / $137.72	Professional		$36.47	$63.94	$137.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $186.40	Professional		$32.34	$32.34	$186.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $61.95 / $110.87	Facility		$28.17	$61.95	$110.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $73.78 / $202.41	Professional		$40.70	$73.78	$202.41
United Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $95.93 / $153.43	Professional		$72.59	$95.93	$153.43