Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $33.85 / $114.41	Professional		$22.45	$33.85	$114.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $35.51 / $77.13	Professional		$14.67	$35.51	$77.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $53.45 / $119.62	Professional		$19.75	$53.45	$119.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.87	Professional		$32.34	$32.34	$124.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $57.66 / $96.50	Facility		$22.90	$57.66	$96.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $53.45 / $119.62	Professional		$19.75	$53.45	$119.62
United Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $91.26 / $163.27	Professional		$63.43	$91.26	$163.27