Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $29.82 / $42.69	Professional		$23.96	$29.82	$42.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $20.45 / $27.07	Professional		$15.34	$20.45	$27.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $58.00 / $101.84	Professional		$30.71	$58.00	$101.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.63	Professional		$32.34	$32.34	$41.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $23.30 / $35.38	Facility		$16.07	$23.30	$35.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $56.87 / $101.63	Professional		$28.73	$56.87	$101.63
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $32.00 / $40.79	Professional		$23.94	$32.00	$40.79