Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.53 / $242.53 / $242.53	Facility		$242.53	$242.53	$242.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.53 / $324.89 / $324.89	Professional		$242.53	$324.89	$324.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $39.97 / $49.87	Professional		$29.99	$39.97	$49.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $40.57 / $40.57	Professional		$40.57	$40.57	$40.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $78.30 / $558.12	Professional		$41.76	$78.30	$558.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $274.56 / $402.69	Facility		$54.84	$274.56	$402.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $40.57 / $40.57	Professional		$40.57	$40.57	$40.57
United Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $28.66 / $254.93	Professional		$23.53	$28.66	$254.93