Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $239.79 / $1,072.47	Professional		$179.00	$239.79	$1,072.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $28.70 / $36.81	Professional		$21.53	$28.70	$36.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $243.17	Facility		$243.17	$243.17	$243.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $243.17 / $292.92	Professional		$243.17	$243.17	$292.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $78.93 / $620.52	Professional		$52.62	$78.93	$620.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $213.53 / $300.58	Facility		$150.34	$213.53	$300.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $243.17 / $292.92	Professional		$243.17	$243.17	$292.92
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $215.30 / $350.79	Professional		$185.44	$215.30	$350.79