Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.10 / $118.29	Professional		$16.60	$25.10	$118.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.71 / $3.86	Professional		$2.02	$2.71	$3.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $24.27	Facility		$24.27	$24.27	$24.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $24.27 / $29.34	Professional		$24.27	$24.27	$29.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $43.28 / $75.00	Professional		$4.97	$43.28	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.33 / $31.46	Facility		$16.60	$23.33	$31.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $24.27 / $29.34	Professional		$24.27	$24.27	$29.34
United Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $19.48 / $25.96	Facility		$2.58	$19.48	$25.96
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.77 / $38.72	Professional		$19.05	$23.77	$38.72