Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $28.54 / $144.01	Professional		$21.31	$28.54	$144.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.59 / $4.53	Professional		$2.69	$3.59	$4.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Facility		$31.91	$31.91	$31.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $31.91 / $37.29	Professional		$31.91	$31.91	$37.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $49.24 / $75.00	Professional		$6.59	$49.24	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $24.37 / $35.78	Facility		$16.01	$24.37	$35.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $31.91 / $37.29	Professional		$31.91	$31.91	$37.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $22.93 / $37.35	Professional		$21.02	$22.93	$37.35