Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.29 / $826.94 / $826.94	Professional		$617.29	$826.94	$826.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $104.94 / $126.94	Professional		$78.70	$104.94	$126.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.37 / $867.37 / $867.37	Facility		$867.37	$867.37	$867.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $867.37 / $867.37	Professional		$103.85	$867.37	$867.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $198.19 / $1,627.78	Professional		$77.41	$198.19	$1,627.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.62 / $688.87 / $1,024.94	Facility		$447.62	$688.87	$1,024.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $867.37 / $867.37	Professional		$103.85	$867.37	$867.37
United Facility/Professional Professional Modifier Low / Median / High Price $587.64 / $660.24 / $1,044.44	Professional		$587.64	$660.24	$1,044.44