Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $86.51 / $103.48	Professional		$66.05	$86.51	$103.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $100.92 / $131.87	Professional		$76.92	$100.92	$131.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $120.00 / $1,500.00	Professional		$60.00	$120.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $93.13 / $125.44	Facility		$81.31	$93.13	$125.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
United Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $131.12 / $186.48	Professional		$100.44	$131.12	$186.48