Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Professional		$48.75	$48.75	$122.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $118.14 / $209.22	Professional		$77.91	$118.14	$209.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $626.82 / $751.00	Professional		$159.00	$626.82	$751.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.26	Professional		$32.34	$32.34	$100.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $55.25 / $240.00	Facility		$48.75	$55.25	$240.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $159.00	Professional		$159.00	$159.00	$159.00