Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $1,659.59	Professional		$177.83	$275.42	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $37.15	Professional		$20.42	$23.99	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $177.83 / $776.25	Professional		$44.67	$177.83	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $331.13	Facility		$281.84	$281.84	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $269.15 / $302.00	Professional		$109.65	$269.15	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $181.97 / $302.00	Facility		$18.20	$181.97	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $295.12	Professional		$165.96	$190.55	$295.12