Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $89.55 / $397.32	Professional		$66.84	$89.55	$397.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $11.16 / $137.47	Professional		$8.36	$11.16	$137.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $93.52	Facility		$93.52	$93.52	$93.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $93.52 / $112.00	Professional		$93.52	$93.52	$112.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $145.71 / $218.56	Professional		$75.00	$145.71	$218.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $77.03 / $112.26	Facility		$43.88	$77.03	$112.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $93.52 / $112.00	Professional		$93.52	$93.52	$112.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $68.65 / $102.37	Professional		$57.60	$68.65	$102.37