Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.08 / $837.37 / $837.37	Professional		$625.08	$837.37	$837.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $107.60 / $128.56	Professional		$80.70	$107.60	$128.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.40 / $833.40 / $833.40	Facility		$833.40	$833.40	$833.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $833.40 / $833.40	Professional		$106.49	$833.40	$833.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $203.22 / $1,590.98	Professional		$78.39	$203.22	$1,590.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $689.27 / $1,037.86	Facility		$437.50	$689.27	$1,037.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $833.40 / $833.40	Professional		$106.49	$833.40	$833.40
United Facility/Professional Professional Modifier Low / Median / High Price $574.35 / $668.58 / $1,020.83	Professional		$574.35	$668.58	$1,020.83