Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $69.18 / $77.62	Professional		$33.88	$69.18	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $74.13	Professional		$56.23	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $128.82	Professional		$95.50	$95.50	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $93.33	Facility		$50.12	$75.86	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $58.88	Professional		$32.36	$38.90	$58.88