Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $116.07 / $529.77	Professional		$86.64	$116.07	$529.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $13.95 / $17.82	Professional		$10.46	$13.95	$17.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $115.51 / $115.51	Facility		$115.51	$115.51	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $115.51 / $138.02	Professional		$115.51	$115.51	$138.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $75.00 / $300.37	Professional		$25.58	$75.00	$300.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $101.60 / $145.50	Facility		$72.06	$101.60	$145.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $115.51 / $138.02	Professional		$115.51	$115.51	$138.02
United Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $104.03 / $168.16	Professional		$86.74	$104.03	$168.16