Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $93.17 / $415.46	Professional		$69.55	$93.17	$415.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $11.62 / $14.30	Professional		$8.72	$11.62	$14.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $94.65	Facility		$94.65	$94.65	$94.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $94.65 / $113.35	Professional		$94.65	$94.65	$113.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $75.00 / $241.11	Professional		$21.32	$75.00	$241.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $78.84 / $116.79	Facility		$52.76	$78.84	$116.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $94.65 / $113.35	Professional		$94.65	$94.65	$113.35
United Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $75.56 / $123.11	Professional		$69.27	$75.56	$123.11