Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.04 / $616.28 / $616.28	Professional		$460.04	$616.28	$616.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $59.36 / $94.54	Professional		$44.52	$59.36	$94.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.00 / $612.00 / $612.00	Facility		$612.00	$612.00	$612.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $612.00 / $612.00	Professional		$65.56	$612.00	$612.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $148.44 / $1,629.48	Professional		$79.16	$148.44	$1,629.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $479.70 / $520.79 / $763.84	Facility		$479.70	$520.79	$763.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $612.00 / $612.00	Professional		$65.56	$612.00	$612.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $420.70 / $730.35	Professional		$356.20	$420.70	$730.35