Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $371.54	Professional		$41.69	$67.61	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.62 / $8.71	Professional		$5.13	$5.62	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $52.48 / $186.21	Professional		$10.00	$52.48	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $51.29 / $89.13	Facility		$34.67	$51.29	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $69.18	Professional		$29.51	$57.54	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $44.67 / $67.61	Facility		$4.90	$44.67	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $81.28	Professional		$42.66	$50.12	$81.28