Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $162.18	Professional		$19.05	$25.12	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.57 / $3.98	Professional		$2.29	$2.57	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $33.11	Professional		$26.92	$26.92	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $21.88 / $63.10	Professional		$4.07	$21.88	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.91 / $37.15	Facility		$12.59	$22.91	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $33.11	Professional		$12.30	$26.92	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $17.78 / $30.90	Facility		$1.74	$17.78	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.50 / $28.84	Professional		$16.60	$19.50	$28.84