Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.45 / $409.04 / $409.04	Professional		$325.45	$409.04	$409.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $58.80 / $61.84	Professional		$44.10	$58.80	$61.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $98.32 / $1,033.08	Professional		$65.55	$98.32	$1,033.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $262.77 / $343.87 / $540.36	Facility		$262.77	$343.87	$540.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.60 / $402.32 / $615.29	Professional		$360.60	$402.32	$615.29