Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $83.61 / $380.07	Professional		$62.41	$83.61	$380.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.57 / $12.83	Professional		$7.18	$9.57	$12.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $81.17	Facility		$81.17	$81.17	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $101.12	Professional		$81.17	$81.17	$101.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $26.32 / $216.32	Professional		$14.04	$26.32	$216.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $76.73 / $104.81	Facility		$57.57	$76.73	$104.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $101.12	Professional		$81.17	$81.17	$101.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $82.45 / $134.33	Professional		$61.50	$82.45	$134.33