Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.90 / $247.70 / $1,143.47	Professional		$184.90	$247.70	$1,143.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $28.77 / $38.02	Professional		$21.58	$28.77	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $243.42	Facility		$243.42	$243.42	$243.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $243.42 / $300.83	Professional		$243.42	$243.42	$300.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $75.00 / $483.56	Professional		$36.22	$75.00	$483.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $224.87 / $310.49	Facility		$142.71	$224.87	$310.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $243.42 / $300.83	Professional		$243.42	$243.42	$300.83
United Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $206.02 / $333.00	Professional		$182.68	$206.02	$333.00