Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $575.44	Professional		$64.57	$97.72	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.51 / $13.49	Professional		$7.94	$8.51	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $107.15	Professional		$91.20	$91.20	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $72.44 / $169.82	Professional		$10.47	$72.44	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $138.04	Facility		$53.70	$79.43	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $107.15	Professional		$45.71	$91.20	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $75.86 / $109.65	Facility		$7.59	$75.86	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $125.89	Professional		$69.18	$77.62	$125.89