Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $81.33 / $81.33	Facility		$81.33	$81.33	$81.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $67.19 / $81.33	Professional		$64.76	$67.19	$81.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.11 / $103.41 / $173.25	Facility		$43.11	$103.41	$173.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility		$68.81	$68.81	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $67.19 / $68.81	Facility		$55.86	$67.19	$68.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Professional		$68.81	$68.81	$68.81