Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $116.30 / $116.30	Professional		$86.81	$116.30	$116.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.54 / $17.85	Professional		$10.16	$13.54	$17.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $129.12	Facility		$129.12	$129.12	$129.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $129.12 / $129.12	Professional		$129.12	$129.12	$129.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $37.24 / $243.08	Professional		$15.52	$37.24	$243.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $105.67 / $144.13	Facility		$77.33	$105.67	$144.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $129.12 / $129.12	Professional		$129.12	$129.12	$129.12
United Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $110.75 / $180.45	Professional		$80.33	$110.75	$180.45