Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $317.30 / $317.30	Professional		$236.86	$317.30	$317.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $40.77 / $399.30	Professional		$30.58	$40.77	$399.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Facility		$172.77	$172.77	$172.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $172.77 / $172.77	Professional		$36.07	$172.77	$172.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $489.38 / $734.07	Professional		$29.76	$489.38	$734.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $248.30 / $393.27	Facility		$139.66	$248.30	$393.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $172.77 / $172.77	Professional		$36.07	$172.77	$172.77
United Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $214.81 / $325.89	Professional		$183.36	$214.81	$325.89