Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $218.78	Professional		$22.91	$30.90	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.16 / $4.79	Professional		$2.63	$3.16	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $39.81	Professional		$33.11	$33.11	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $22.91 / $74.13	Professional		$3.31	$22.91	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $26.30 / $41.69	Facility		$16.22	$26.30	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.11 / $39.81	Professional		$13.80	$33.11	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $22.91 / $38.90	Facility		$2.29	$22.91	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $24.55 / $38.02	Professional		$21.38	$24.55	$38.02