Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $54.95	Professional		$21.88	$42.66	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $51.29	Professional		$38.02	$38.02	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $95.50	Professional		$89.13	$89.13	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $52.48 / $70.79	Facility		$40.74	$52.48	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $39.81	Professional		$23.99	$26.30	$39.81