Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,258.93	Professional		$660.69	$891.25	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $134.90	Professional		$72.44	$89.13	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,000.00 / $1,000.00	Professional		$109.65	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $1,659.59	Professional		$91.20	$213.80	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $691.83 / $1,096.48	Facility		$87.10	$691.83	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $851.14 / $1,000.00	Professional		$109.65	$851.14	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $467.74 / $954.99	Facility		$54.95	$467.74	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $776.25	Professional		$478.63	$602.56	$776.25