Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $196.45 / $921.56	Professional		$152.76	$196.45	$921.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $25.30 / $30.14	Professional		$18.98	$25.30	$30.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $244.43	Facility		$244.43	$244.43	$244.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.43 / $244.43 / $263.95	Professional		$244.43	$244.43	$263.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $75.00 / $375.64	Professional		$31.67	$75.00	$375.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $224.97 / $253.64	Facility		$224.97	$224.97	$253.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.43 / $244.43 / $263.95	Professional		$244.43	$244.43	$263.95
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $152.44 / $241.32	Professional		$132.72	$152.44	$241.32