Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $58.50 / $62.46	Professional		$27.26	$58.50	$62.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.42 / $278.58 / $290.73	Facility		$236.42	$278.58	$290.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $42.58 / $56.77	Professional		$11.33	$42.58	$56.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $115.84	Professional		$81.17	$81.17	$115.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $53.41 / $60.91	Facility		$50.87	$53.41	$60.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $66.98	Professional		$29.54	$29.54	$66.98
United Facility/Professional Professional Modifier Low / Median / High Price $28.39 / $30.70 / $46.24	Professional		$28.39	$30.70	$46.24