Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.36 / $595.48 / $595.48	Professional		$438.36	$595.48	$595.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $76.45 / $91.42	Professional		$57.34	$76.45	$91.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $458.33 / $458.33	Facility		$458.33	$458.33	$458.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $458.32 / $458.33	Professional		$75.66	$458.32	$458.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $144.38 / $1,750.34	Professional		$75.00	$144.38	$1,750.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $268.89 / $463.18 / $736.12	Facility		$268.89	$463.18	$736.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.66 / $458.32 / $458.33	Professional		$75.66	$458.32	$458.33
United Facility/Professional Professional Modifier Low / Median / High Price $470.76 / $594.13 / $967.99	Professional		$470.76	$594.13	$967.99