Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Facility		$41.40	$41.40	$41.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $37.90 / $164.37	Professional		$34.18	$37.90	$164.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $42.68 / $50.86	Professional		$32.01	$42.68	$50.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $69.95	Professional		$23.24	$23.24	$69.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $53.43 / $80.14	Professional		$42.74	$53.43	$80.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $15.59 / $42.06	Facility		$15.59	$15.59	$42.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $40.26 / $58.10	Professional		$23.24	$40.26	$58.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $24.16 / $36.38	Professional		$22.33	$24.16	$36.38