Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $57.54	Professional		$30.90	$45.71	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $67.61	Professional		$51.29	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $74.13	Professional		$43.65	$43.65	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $154.88	Professional		$72.44	$83.18	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $144.54	Facility		$38.90	$77.62	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $93.33	Professional		$43.65	$43.65	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $54.95	Professional		$33.11	$36.31	$54.95