Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $42.85 / $54.15	Professional		$37.00	$42.85	$54.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $31.42 / $39.29	Professional		$23.57	$31.42	$39.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $65.76 / $101.84	Professional		$38.00	$65.76	$101.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $60.55	Professional		$32.34	$32.34	$60.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $33.31 / $45.36	Facility		$24.88	$33.31	$45.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $64.50 / $101.63	Professional		$37.00	$64.50	$101.63
United Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $48.83 / $58.65	Professional		$35.35	$48.83	$58.65