Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $33.97 / $150.91	Professional		$25.37	$33.97	$150.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.25 / $5.22	Professional		$3.19	$4.25	$5.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $35.56	Facility		$35.56	$35.56	$35.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $35.56 / $41.48	Professional		$35.56	$35.56	$41.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $38.60 / $75.00	Professional		$5.34	$38.60	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $29.20 / $42.60	Facility		$16.57	$29.20	$42.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $35.56 / $41.48	Professional		$35.56	$35.56	$41.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $26.09 / $38.69	Professional		$21.77	$26.09	$38.69