Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.53 / $313.39 / $313.39	Professional		$234.53	$313.39	$313.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $39.27 / $48.11	Professional		$29.45	$39.27	$48.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Facility		$238.50	$238.50	$238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Professional		$238.50	$238.50	$238.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $75.54 / $513.84	Professional		$40.28	$75.54	$513.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $238.50 / $389.40	Facility		$166.91	$238.50	$389.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Professional		$238.50	$238.50	$238.50
United Facility/Professional Facility Modifier Low / Median / High Price $25.89 / $201.83 / $269.45	Facility		$25.89	$201.83	$269.45
United Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $205.25 / $317.02	Professional		$168.16	$205.25	$317.02