Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $37.96 / $185.19	Professional		$28.34	$37.96	$185.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.73 / $5.94	Professional		$3.55	$4.73	$5.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $42.67	Facility		$42.67	$42.67	$42.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $42.67 / $49.20	Professional		$42.67	$42.67	$49.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.64 / $8.92 / $75.00	Professional		$4.64	$8.92	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $33.21 / $47.59	Facility		$25.44	$33.21	$47.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $42.67 / $49.20	Professional		$42.67	$42.67	$49.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $36.43 / $59.36	Professional		$30.27	$36.43	$59.36