Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.27 / $293.94 / $293.94	Professional		$212.27	$293.94	$293.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $34.69 / $45.11	Professional		$26.02	$34.69	$45.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $256.50	Facility		$256.50	$256.50	$256.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $256.50	Professional		$35.83	$256.50	$256.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $70.83 / $556.20	Professional		$37.77	$70.83	$556.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.89 / $240.30 / $352.44	Facility		$172.89	$240.30	$352.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $256.50	Professional		$35.83	$256.50	$256.50
United Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $212.51 / $328.57	Professional		$183.19	$212.51	$328.57