Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $117.59 / $125.10	Professional		$108.78	$117.59	$125.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $114.13	Professional		$85.60	$85.60	$114.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $200.02 / $232.88	Professional		$32.34	$200.02	$232.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $121.44 / $125.10	Facility		$60.72	$121.44	$125.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $125.10	Professional		$58.29	$58.29	$125.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $67.09 / $111.81	Professional		$60.58	$67.09	$111.81