Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $57.46 / $61.28	Professional		$28.13	$57.46	$61.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.17 / $273.58 / $285.51	Facility		$232.17	$273.58	$285.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $41.83 / $55.77	Professional		$11.82	$41.83	$55.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $113.81	Professional		$79.73	$79.73	$113.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $52.45 / $61.13	Facility		$49.95	$52.45	$61.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $65.72	Professional		$29.80	$29.80	$65.72
United Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $30.97 / $46.65	Professional		$28.63	$30.97	$46.65