Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $245.47	Professional		$28.18	$38.02	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.17 / $6.03	Professional		$3.39	$4.17	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $46.77	Professional		$38.90	$38.90	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $30.90 / $75.86	Professional		$4.57	$30.90	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $35.48 / $63.10	Facility		$25.70	$35.48	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $46.77	Professional		$21.88	$38.90	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $30.90 / $46.77	Facility		$3.63	$30.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $60.26	Professional		$29.51	$37.15	$60.26