Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $114.82	Professional		$47.86	$77.62	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $158.49	Professional		$40.74	$91.20	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $154.88	Professional		$53.70	$95.50	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $275.42	Professional		$85.11	$158.49	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $93.33 / $144.54	Facility		$61.66	$93.33	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $144.54	Professional		$53.70	$91.20	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $144.54	Professional		$54.95	$89.13	$144.54