Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $41.36 / $190.95	Professional		$30.87	$41.36	$190.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.31 / $63.49	Professional		$3.98	$5.31	$63.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Facility		$44.42	$44.42	$44.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $44.42 / $52.54	Professional		$44.42	$44.42	$52.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $67.30 / $100.95	Professional		$53.84	$67.30	$100.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $34.06 / $51.84	Facility		$21.66	$34.06	$51.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $44.42 / $52.54	Professional		$44.42	$44.42	$52.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $31.02 / $50.53	Professional		$27.71	$31.02	$50.53