Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $64.57	Professional		$30.20	$58.88	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Professional		$42.66	$42.66	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $97.72	Professional		$60.26	$95.50	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $63.10 / $85.11	Facility		$48.98	$63.10	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $51.29	Professional		$28.18	$33.88	$51.29