Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $24.96 / $116.49	Professional		$17.76	$24.96	$116.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.96 / $3.95	Professional		$2.22	$2.96	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $25.90	Facility		$25.90	$25.90	$25.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $25.90 / $29.15	Professional		$25.90	$25.90	$29.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $43.06 / $75.00	Professional		$5.43	$43.06	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $20.78 / $29.82	Facility		$13.77	$20.78	$29.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $25.90 / $29.15	Professional		$25.90	$25.90	$29.15
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $19.88 / $32.13	Professional		$18.07	$19.88	$32.13