Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.86 / $164.59 / $765.62	Professional		$122.86	$164.59	$765.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $19.04 / $25.26	Professional		$14.28	$19.04	$25.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $160.96	Facility		$160.96	$160.96	$160.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $160.96 / $197.85	Professional		$160.96	$160.96	$197.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $75.00 / $425.89	Professional		$34.92	$75.00	$425.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $149.71 / $206.32	Facility		$110.87	$149.71	$206.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $160.96 / $197.85	Professional		$160.96	$160.96	$197.85
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $151.87 / $258.69	Professional		$125.95	$151.87	$258.69