Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $69.48 / $77.93	Professional		$31.08	$69.48	$77.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.80 / $316.75 / $330.56	Facility		$268.80	$316.75	$330.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $48.42 / $64.56	Professional		$17.50	$48.42	$64.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.13 / $118.38 / $159.81	Professional		$113.13	$118.38	$159.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $61.94 / $84.71	Facility		$57.83	$61.94	$84.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $74.52	Professional		$36.11	$36.11	$74.52
United Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $37.54 / $56.55	Professional		$34.71	$37.54	$56.55