Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.66 / $4.88	Professional		$2.73	$3.66	$4.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $20.23 / $25.30	Professional		$20.23	$20.23	$25.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $15.94 / $15.94	Facility		$15.94	$15.94	$15.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Professional		$19.07	$19.07	$19.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $9.44 / $14.51	Professional		$8.43	$9.44	$14.51