Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $64.58 / $290.27	Professional		$48.21	$64.58	$290.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.85 / $99.13	Professional		$5.89	$7.85	$99.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $66.38	Facility		$66.38	$66.38	$66.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $78.33	Professional		$66.38	$66.38	$78.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $105.08 / $157.62	Professional		$75.00	$105.08	$157.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $56.81 / $80.95	Facility		$39.02	$56.81	$80.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $78.33	Professional		$66.38	$66.38	$78.33
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $55.88 / $91.04	Professional		$50.19	$55.88	$91.04