Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.65 / $26.24	Professional		$5.21	$5.65	$26.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $416.87 / $703.02	Facility		$117.66	$416.87	$703.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $23.02 / $27.58	Professional		$21.78	$23.02	$27.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $32.34 / $32.34	Professional		$7.71	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $19.22 / $44.00	Facility		$5.08	$19.22	$44.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $10.32 / $16.48	Professional		$6.28	$10.32	$16.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $13.52 / $30.87	Professional		$6.02	$13.52	$30.87