Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.48 / $141.30 / $643.03	Professional		$105.48	$141.30	$643.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $14.30 / $21.68	Professional		$10.73	$14.30	$21.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $126.72	Facility		$126.72	$126.72	$126.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $126.72 / $155.83	Professional		$126.72	$126.72	$155.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $75.00 / $365.52	Professional		$26.22	$75.00	$365.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $131.35 / $177.13	Facility		$119.48	$131.35	$177.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $126.72 / $155.83	Professional		$126.72	$126.72	$155.83
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $171.11 / $278.77	Professional		$111.19	$171.11	$278.77