Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $31.33 / $156.43	Professional		$25.29	$31.33	$156.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.03 / $4.80	Professional		$3.02	$4.03	$4.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $42.48	Professional		$25.20	$25.20	$42.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $40.66 / $75.00	Professional		$5.05	$40.66	$75.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $27.29 / $41.99	Facility		$18.42	$27.29	$41.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $42.48	Professional		$25.20	$25.20	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $26.38 / $42.98	Professional		$23.57	$26.38	$42.98