Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $288.40	Professional		$33.88	$48.98	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.79 / $6.92	Professional		$3.63	$4.79	$6.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $104.71	Professional		$43.65	$43.65	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $44.67 / $147.91	Professional		$7.08	$44.67	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $44.67 / $95.50	Facility		$43.65	$44.67	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $104.71	Professional		$37.15	$43.65	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $42.66 / $61.66	Facility		$4.47	$42.66	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $102.33	Professional		$37.15	$63.10	$102.33