Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $275.42	Professional		$107.15	$144.54	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.79 / $22.39	Professional		$12.88	$14.79	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $123.03 / $123.03	Professional		$16.98	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $38.02 / $338.84	Professional		$15.14	$38.02	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $177.83	Facility		$93.33	$128.82	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $104.71 / $123.03	Professional		$16.98	$104.71	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $114.82 / $154.88	Facility		$13.18	$114.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $218.78	Professional		$97.72	$131.83	$218.78