Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $59.59 / $59.59	Facility		$59.59	$59.59	$59.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $123.34 / $135.66	Professional		$84.13	$123.34	$135.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $53.55 / $71.31	Professional		$53.55	$53.55	$71.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $85.39	Professional		$73.14	$73.14	$85.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $60.00 / $118.27	Professional		$45.00	$60.00	$118.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.63 / $84.63 / $84.63	Facility		$84.63	$84.63	$84.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
United Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $97.00 / $185.50	Professional		$88.79	$97.00	$185.50