Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $52.00 / $52.00	Professional		$31.20	$52.00	$52.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.33 / $36.33 / $65.00	Professional		$36.33	$36.33	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $23.45	Professional		$21.25	$21.25	$23.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $65.00 / $99.43	Professional		$45.50	$65.00	$99.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $52.00 / $61.00	Facility		$26.23	$52.00	$61.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $103.64	Professional		$21.25	$21.25	$103.64
United Facility/Professional Professional Modifier Low / Median / High Price $35.53 / $35.53 / $59.22	Professional		$35.53	$35.53	$59.22