Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $77.92 / $81.27	Facility		$77.92	$77.92	$81.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $61.46 / $77.92	Professional		$46.72	$61.46	$77.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $58.77 / $58.77	Facility		$58.77	$58.77	$58.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $60.71 / $109.84	Professional		$45.53	$60.71	$109.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $90.49	Professional		$57.73	$57.73	$90.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $61.45 / $81.80	Facility		$49.98	$61.45	$81.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $84.39 / $171.61	Professional		$57.73	$84.39	$171.61
United Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $99.47 / $154.71	Professional		$67.95	$99.47	$154.71