Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $108.31 / $490.73	Professional		$80.84	$108.31	$490.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.94 / $16.63	Professional		$9.71	$12.94	$16.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $115.90	Facility		$115.90	$115.90	$115.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $115.90 / $133.46	Professional		$115.90	$115.90	$133.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $75.00 / $280.29	Professional		$23.73	$75.00	$280.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.72 / $96.35 / $135.77	Facility		$61.72	$96.35	$135.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $115.90 / $133.46	Professional		$115.90	$115.90	$133.46
United Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $84.86 / $137.16	Professional		$83.39	$84.86	$137.16