Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.39 / $340.79 / $1,583.95	Professional		$254.39	$340.79	$1,583.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $41.06 / $52.31	Professional		$30.80	$41.06	$52.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $353.55	Facility		$353.55	$353.55	$353.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $353.55 / $422.81	Professional		$353.55	$353.55	$422.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $77.55 / $609.94	Professional		$51.70	$77.55	$609.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $303.77 / $427.18	Facility		$181.30	$303.77	$427.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $353.55 / $422.81	Professional		$353.55	$353.55	$422.81
United Facility/Professional Professional Modifier Low / Median / High Price $238.01 / $261.72 / $423.03	Professional		$238.01	$261.72	$423.03