Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $162.18	Professional		$16.98	$26.30	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.82 / $3.98	Professional		$2.24	$2.82	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $28.84	Professional		$25.70	$25.70	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $20.42 / $81.28	Professional		$5.37	$20.42	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.38 / $34.67	Facility		$13.80	$21.38	$34.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $28.84	Professional		$13.49	$25.70	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $19.50 / $30.20	Facility		$2.14	$19.50	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $32.36	Professional		$18.20	$19.95	$32.36