Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $128.82	Professional		$14.13	$19.05	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.95 / $3.02	Professional		$1.82	$1.95	$3.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $24.55	Professional		$20.89	$20.89	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $16.60 / $47.86	Professional		$3.09	$16.60	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $17.78 / $28.84	Facility		$9.77	$17.78	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $20.89 / $24.55	Professional		$9.55	$20.89	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $13.80 / $23.99	Facility		$1.38	$13.80	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $22.91	Professional		$12.88	$15.14	$22.91