Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $28.51 / $34.28	Professional		$14.15	$28.51	$34.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $153.38 / $160.08	Facility		$130.16	$153.38	$160.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $26.15 / $31.27	Professional		$23.45	$26.15	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $44.71 / $63.81	Professional		$31.29	$44.71	$63.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $29.41 / $34.28	Facility		$27.73	$29.41	$34.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $30.01	Professional		$16.45	$16.45	$30.01
United Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $17.09 / $25.75	Professional		$15.80	$17.09	$25.75