Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $276.55 / $276.55	Professional		$206.44	$276.55	$276.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $35.53 / $42.34	Professional		$26.65	$35.53	$42.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $219.78 / $219.78	Facility		$219.78	$219.78	$219.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $35.88 / $219.78	Professional		$35.88	$35.88	$219.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $97.74 / $594.32	Professional		$28.36	$97.74	$594.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.35 / $219.78 / $342.76	Facility		$141.35	$219.78	$342.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $120.16 / $219.78	Professional		$35.88	$120.16	$219.78
United Facility/Professional Professional Modifier Low / Median / High Price $157.84 / $220.00 / $329.82	Professional		$157.84	$220.00	$329.82