Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $58.28 / $262.82	Professional		$43.50	$58.28	$262.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $7.12 / $9.10	Professional		$5.34	$7.12	$9.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $44.10	Facility		$44.10	$44.10	$44.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.10 / $68.56	Professional		$44.10	$44.10	$68.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $75.00 / $150.80	Professional		$13.07	$75.00	$150.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $49.25 / $73.05	Facility		$29.99	$49.25	$73.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.10 / $68.56	Professional		$44.10	$44.10	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $43.30 / $69.98	Professional		$33.33	$43.30	$69.98