Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $319.27 / $1,394.25	Professional		$208.71	$319.27	$1,394.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $34.65 / $49.52	Professional		$26.00	$34.65	$49.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $310.87	Facility		$310.87	$310.87	$310.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $310.87 / $378.06	Professional		$310.87	$310.87	$378.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $238.73 / $825.98	Professional		$63.56	$238.73	$825.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.71 / $278.89 / $377.92	Facility		$208.71	$278.89	$377.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $310.87 / $378.06	Professional		$310.87	$310.87	$378.06
United Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $298.91 / $486.99	Professional		$230.56	$298.91	$486.99