Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $218.97 / $218.97	Professional		$95.00	$218.97	$218.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $41.33	Professional		$39.57	$39.57	$41.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Professional		$23.12	$23.12	$23.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $52.76 / $71.67	Professional		$43.97	$52.76	$71.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $29.57 / $55.40	Facility		$21.63	$29.57	$55.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $52.76 / $61.12	Professional		$23.12	$52.76	$61.12
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $18.47 / $26.38	Professional		$12.54	$18.47	$26.38