Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $707.52 / $707.52	Professional		$528.15	$707.52	$707.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $87.04 / $108.60	Professional		$65.28	$87.04	$108.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $251.69	Facility		$251.69	$251.69	$251.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $251.69 / $251.69	Professional		$88.13	$251.69	$251.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $164.38 / $1,264.45	Professional		$75.00	$164.38	$1,264.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $528.15 / $876.92	Facility		$251.69	$528.15	$876.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $251.69 / $251.69	Professional		$88.13	$251.69	$251.69
United Facility/Professional Professional Modifier Low / Median / High Price $388.69 / $434.55 / $835.61	Professional		$388.69	$434.55	$835.61