Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $660.69	Professional		$257.04	$331.13	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $50.12	Professional		$30.20	$32.36	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $380.19 / $380.19	Professional		$40.74	$380.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $691.83	Professional		$36.31	$79.43	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $288.40 / $426.58	Facility		$34.67	$288.40	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $323.59 / $380.19	Professional		$40.74	$323.59	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $234.42 / $346.74	Facility		$26.92	$234.42	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $363.08	Professional		$199.53	$239.88	$363.08