Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $43.89 / $50.52	Professional		$19.79	$43.89	$50.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.84 / $226.06 / $235.91	Facility		$191.84	$226.06	$235.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $34.57 / $46.09	Professional		$5.91	$34.57	$46.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $22.57	Professional		$22.57	$22.57	$22.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.53 / $114.11	Professional		$84.53	$84.53	$114.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $43.30 / $50.52	Facility		$38.04	$43.30	$50.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $47.07	Professional		$22.57	$22.57	$47.07
United Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $23.46 / $35.33	Professional		$21.68	$23.46	$35.33