Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $128.08 / $599.03	Professional		$94.53	$128.08	$599.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $15.58 / $19.66	Professional		$11.69	$15.58	$19.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Facility		$130.68	$130.68	$130.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $130.68 / $156.62	Professional		$130.68	$130.68	$156.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $29.43 / $250.08	Professional		$15.69	$29.43	$250.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $133.96 / $158.72	Facility		$130.68	$133.96	$158.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $130.68 / $156.62	Professional		$130.68	$130.68	$156.62
United Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $96.63 / $158.97	Professional		$87.44	$96.63	$158.97