Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.37 / $72.72 / $78.44	Facility		$59.37	$72.72	$78.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $60.25 / $82.15	Professional		$46.25	$60.25	$82.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $61.97 / $84.94	Professional		$18.52	$61.97	$84.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $92.88 / $125.23	Professional		$49.42	$92.88	$125.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $68.23 / $101.11	Professional		$45.48	$68.23	$101.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $72.70 / $90.15	Facility		$51.63	$72.70	$90.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $92.88 / $121.90	Professional		$52.44	$92.88	$121.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $68.27 / $118.79	Professional		$50.07	$68.27	$118.79