Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $223.87	Professional		$25.12	$33.11	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.39 / $5.25	Professional		$3.09	$3.39	$5.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $27.54 / $87.10	Professional		$4.17	$27.54	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $53.70	Facility		$20.89	$30.90	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $40.74	Professional		$17.78	$34.67	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $26.92 / $40.74	Facility		$2.95	$26.92	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $48.98	Professional		$25.70	$30.20	$48.98