Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.47 / $164.06 / $751.01	Professional		$122.47	$164.06	$751.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $19.62 / $25.19	Professional		$14.72	$19.62	$25.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $166.31	Facility		$166.31	$166.31	$166.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $166.31 / $196.56	Professional		$166.31	$166.31	$196.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $75.00 / $424.53	Professional		$35.99	$75.00	$424.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $145.71 / $205.65	Facility		$102.96	$145.71	$205.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.31 / $166.31 / $196.56	Professional		$166.31	$166.31	$196.56
United Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $147.46 / $240.24	Professional		$127.66	$147.46	$240.24