Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $331.38 / $1,492.66	Professional		$247.37	$331.38	$1,492.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $39.25 / $50.86	Professional		$29.44	$39.25	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $408.42	Professional		$333.25	$333.25	$408.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $75.00 / $646.95	Professional		$49.42	$75.00	$646.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $296.37 / $415.39	Facility		$183.24	$296.37	$415.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $408.42	Professional		$333.25	$333.25	$408.42
United Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $264.52 / $427.55	Professional		$240.56	$264.52	$427.55