Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.61 / $78.61 / $78.61	Facility		$78.61	$78.61	$78.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $76.72 / $312.06	Professional		$64.90	$76.72	$312.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $86.41 / $102.95	Professional		$64.81	$86.41	$102.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $76.44 / $132.77	Professional		$44.13	$76.44	$132.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $108.17 / $162.25	Professional		$86.53	$108.17	$162.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.61 / $29.61 / $85.14	Facility		$29.61	$29.61	$85.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $76.44 / $126.76	Professional		$44.13	$76.44	$126.76
United Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $45.86 / $69.08	Professional		$41.41	$45.86	$69.08