Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $53.58 / $69.06	Professional		$30.35	$53.58	$69.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $75.90 / $75.90	Professional		$56.93	$75.90	$75.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $75.41	Professional		$38.77	$38.77	$75.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $154.88 / $154.88	Professional		$114.02	$154.88	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $83.71 / $131.59	Facility		$60.67	$83.71	$131.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $38.77 / $133.94	Professional		$38.77	$38.77	$133.94
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $43.10 / $68.58	Professional		$40.29	$43.10	$68.58