Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $33.17 / $33.17	Professional		$12.64	$33.17	$33.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $22.61 / $25.98	Professional		$16.96	$22.61	$25.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $19.11 / $26.28	Professional		$7.02	$19.11	$26.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $33.16 / $45.05	Professional		$27.64	$33.16	$45.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $16.96 / $34.83	Facility		$14.76	$16.96	$34.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $31.79 / $38.42	Professional		$16.28	$31.79	$38.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $16.57 / $41.46	Professional		$8.81	$16.57	$41.46