Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $213.80	Professional		$23.99	$32.36	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.31 / $4.90	Professional		$2.88	$3.31	$4.90
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 / $38.90	Professional		$33.11	$33.11	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $26.30 / $83.18	Professional		$4.17	$26.30	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $52.48	Facility		$20.42	$30.20	$52.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $38.90	Professional		$17.38	$33.11	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $26.92 / $40.74	Facility		$2.88	$26.92	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $47.86	Professional		$25.70	$29.51	$47.86