Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $123.03	Professional		$12.88	$17.78	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.82 / $2.75	Professional		$1.48	$1.82	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $22.39	Professional		$18.62	$18.62	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $13.80 / $57.54	Professional		$3.39	$13.80	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.14 / $23.99	Facility		$9.33	$15.14	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $18.62 / $22.39	Professional		$7.94	$18.62	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $13.18 / $22.39	Facility		$1.32	$13.18	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.13 / $21.88	Professional		$12.30	$14.13	$21.88