Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $85.82 / $386.52	Professional		$64.06	$85.82	$386.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.58 / $13.18	Professional		$7.94	$10.58	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $88.16	Facility		$88.16	$88.16	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $88.16 / $102.18	Professional		$88.16	$88.16	$102.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $75.00 / $167.55	Professional		$13.31	$75.00	$167.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.22 / $74.19 / $107.57	Facility		$50.22	$74.19	$107.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $88.16 / $102.18	Professional		$88.16	$88.16	$102.18
United Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $71.93 / $117.20	Professional		$65.86	$71.93	$117.20