Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $27.02 / $128.25	Professional		$19.17	$27.02	$128.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.12 / $4.12	Professional		$2.34	$3.12	$4.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $28.34	Facility		$28.34	$28.34	$28.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $28.34 / $32.20	Professional		$28.34	$28.34	$32.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $46.60 / $75.00	Professional		$5.73	$46.60	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $22.61 / $32.19	Facility		$15.65	$22.61	$32.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $28.34 / $32.20	Professional		$28.34	$28.34	$32.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $22.60 / $52.91	Professional		$20.26	$22.60	$52.91