Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $21.12 / $93.31	Professional		$15.76	$21.12	$93.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.67 / $3.25	Professional		$2.00	$2.67	$3.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Facility		$22.28	$22.28	$22.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $26.23	Professional		$22.28	$22.28	$26.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $5.04 / $51.54	Professional		$2.68	$5.04	$51.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $18.47 / $26.47	Facility		$11.56	$18.47	$26.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $26.23	Professional		$22.28	$22.28	$26.23
United Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $16.68 / $26.96	Professional		$15.17	$16.68	$26.96