Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $122.57 / $640.77	Professional		$97.02	$122.57	$640.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $13.92 / $18.82	Professional		$10.44	$13.92	$18.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $123.59	Facility		$123.59	$123.59	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $123.59 / $155.94	Professional		$123.59	$123.59	$155.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $26.29 / $199.39	Professional		$12.27	$26.29	$199.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.84 / $120.82 / $162.91	Facility		$100.84	$120.82	$162.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $123.59 / $155.94	Professional		$123.59	$123.59	$155.94
United Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $144.41 / $235.28	Professional		$95.59	$144.41	$235.28