Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $109.60 / $523.45	Professional		$81.81	$109.60	$523.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.91 / $16.82	Professional		$9.68	$12.91	$16.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $114.47	Facility		$114.47	$114.47	$114.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $114.47 / $137.96	Professional		$114.47	$114.47	$137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $35.50 / $283.59	Professional		$18.93	$35.50	$283.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $100.82 / $137.38	Facility		$71.15	$100.82	$137.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $114.47 / $137.96	Professional		$114.47	$114.47	$137.96
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $101.89 / $166.01	Professional		$87.07	$101.89	$166.01