Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.08 / $837.37 / $837.37	Professional		$625.08	$837.37	$837.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $107.60 / $128.56	Professional		$80.70	$107.60	$128.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $795.00	Facility		$795.00	$795.00	$795.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $795.00 / $795.00	Professional		$106.49	$795.00	$795.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $94.83 / $135.47	Professional		$75.00	$94.83	$135.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $665.50 / $1,037.86	Facility		$98.66	$665.50	$1,037.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $795.00 / $795.00	Professional		$106.49	$795.00	$795.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $668.58 / $807.40	Professional		$445.72	$668.58	$807.40