Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $123.11	Professional		$18.05	$18.05	$123.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $55.79 / $62.35	Professional		$26.08	$55.79	$62.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $99.27 / $118.94	Professional		$93.93	$99.27	$118.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $32.34 / $32.70	Professional		$30.46	$32.34	$32.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $43.22 / $69.01	Professional		$24.77	$43.22	$69.01
United Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $40.17 / $56.56	Professional		$27.52	$40.17	$56.56