Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $42.71 / $196.26	Professional		$31.88	$42.71	$196.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.96 / $6.55	Professional		$3.72	$4.96	$6.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $41.54	Facility		$41.54	$41.54	$41.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $41.54 / $50.10	Professional		$41.54	$41.54	$50.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $57.32 / $110.52	Professional		$9.09	$57.32	$110.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $38.61 / $53.54	Facility		$28.56	$38.61	$53.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $41.54 / $50.10	Professional		$41.54	$41.54	$50.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $40.90 / $66.64	Professional		$32.83	$40.90	$66.64