Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $95.14 / $771.92	Professional		$78.02	$95.14	$771.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $15.95 / $32.42	Professional		$13.38	$15.95	$32.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $101.77 / $101.77	Facility		$101.77	$101.77	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $116.81 / $155.75	Professional		$85.11	$116.81	$155.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $18.86 / $70.00	Professional		$13.12	$18.86	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $97.61 / $121.16	Facility		$81.39	$97.61	$121.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $115.60 / $155.75	Professional		$85.11	$115.60	$155.75
United Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $110.76 / $159.04	Professional		$83.89	$110.76	$159.04