Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $35.96 / $41.69	Professional		$18.64	$35.96	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.34 / $171.27 / $178.74	Facility		$145.34	$171.27	$178.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $26.18 / $34.90	Professional		$6.40	$26.18	$34.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Professional		$19.59	$19.59	$19.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $63.99 / $86.38	Professional		$63.99	$63.99	$86.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $33.02 / $38.92	Facility		$31.27	$33.02	$38.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $44.71	Professional		$19.59	$19.59	$44.71
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $20.36 / $30.68	Professional		$18.82	$20.36	$30.68