Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.30 / $41.93 / $191.48	Professional		$31.30	$41.93	$191.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $5.03 / $64.36	Professional		$3.77	$5.03	$64.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $42.49	Facility		$42.49	$42.49	$42.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.49 / $51.33	Professional		$42.49	$42.49	$51.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $90.42 / $135.63	Professional		$72.33	$90.42	$135.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $37.11 / $52.56	Facility		$22.51	$37.11	$52.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $42.49 / $51.33	Professional		$42.49	$42.49	$51.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $32.50 / $52.52	Professional		$29.55	$32.50	$52.52