Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $51.28 / $226.52	Professional		$38.28	$51.28	$226.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.39 / $78.72	Professional		$4.79	$6.39	$78.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $63.10	Professional		$46.80	$46.80	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $83.44 / $125.16	Professional		$66.75	$83.44	$125.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $43.96 / $64.28	Facility		$25.16	$43.96	$64.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $63.10	Professional		$46.80	$46.80	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $38.49 / $58.69	Professional		$36.02	$38.49	$58.69