Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $1,047.13	Professional		$123.03	$190.55	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $25.12	Professional		$14.13	$17.78	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $128.82 / $537.03	Professional		$28.18	$128.82	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $281.84	Facility		$109.65	$151.36	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $199.53	Professional		$93.33	$162.18	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $128.82 / $199.53	Facility		$15.49	$128.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $257.04	Professional		$125.89	$158.49	$257.04