Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $47.22	Facility		$40.35	$40.35	$47.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $47.58 / $60.80	Professional		$40.35	$47.58	$60.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $55.89 / $86.58	Professional		$31.99	$55.89	$86.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $73.52 / $106.61	Professional		$54.17	$73.52	$106.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $90.91	Professional		$32.34	$32.34	$90.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $47.59 / $62.15	Facility		$40.35	$47.59	$62.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.23 / $70.95 / $106.61	Professional		$47.23	$70.95	$106.61
United Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $92.04 / $124.57	Professional		$76.11	$92.04	$124.57