Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $41.57 / $41.57	Facility		$41.57	$41.57	$41.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $49.11 / $183.06	Professional		$41.57	$49.11	$183.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $35.68 / $63.26	Professional		$25.88	$35.68	$63.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $60.73 / $95.06	Professional		$41.03	$60.73	$95.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $59.43 / $79.23	Facility		$39.43	$59.43	$79.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $73.40 / $116.84	Professional		$40.29	$73.40	$116.84
United Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $77.00 / $92.40	Professional		$51.92	$77.00	$92.40