Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $29.20 / $133.56	Professional		$21.80	$29.20	$133.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $3.52 / $4.48	Professional		$2.64	$3.52	$4.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Facility		$29.99	$29.99	$29.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $35.90	Professional		$29.99	$29.99	$35.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $50.37 / $75.56	Professional		$6.45	$50.37	$75.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $25.93 / $36.61	Facility		$15.56	$25.93	$36.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $35.90	Professional		$29.99	$29.99	$35.90
United Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $24.18 / $32.24	Facility		$3.22	$24.18	$32.24
United Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $22.60 / $36.29	Professional		$20.43	$22.60	$36.29