Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $40.89 / $187.55	Professional		$29.85	$40.89	$187.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.05 / $6.32	Professional		$3.80	$5.05	$6.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $43.15	Facility		$43.15	$43.15	$43.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $50.66	Professional		$43.15	$43.15	$50.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $43.78 / $62.55	Professional		$4.45	$43.78	$62.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $46.16 / $50.12	Facility		$43.15	$46.16	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $50.66	Professional		$43.15	$43.15	$50.66
United Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $32.60 / $54.34	Professional		$29.89	$32.60	$54.34