Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $45.93 / $70.48	Facility		$45.93	$45.93	$70.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $45.93 / $67.94	Professional		$29.18	$45.93	$67.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $37.96 / $54.99	Professional		$25.82	$37.96	$54.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $49.99 / $79.53	Professional		$42.42	$49.99	$79.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.47 / $66.95	Professional		$32.34	$33.47	$66.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $45.93 / $70.48	Facility		$30.70	$45.93	$70.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $61.51 / $107.40	Professional		$48.29	$61.51	$107.40
United Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $96.90 / $150.09	Professional		$68.40	$96.90	$150.09