Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $28.72 / $28.72	Facility		$28.72	$28.72	$28.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $38.00 / $202.49	Professional		$28.72	$38.00	$202.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $49.23 / $71.09	Professional		$29.71	$49.23	$71.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $63.21	Professional		$32.34	$32.34	$63.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $39.94 / $49.01	Facility		$32.96	$39.94	$49.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $107.11	Professional		$36.31	$36.31	$107.11
United Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $56.65 / $71.06	Professional		$40.94	$56.65	$71.06