Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.81 / $278.32 / $278.32	Professional		$199.81	$278.32	$278.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $35.76 / $42.61	Professional		$26.82	$35.76	$42.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $209.52	Facility		$209.52	$209.52	$209.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $209.52	Professional		$31.65	$209.52	$209.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $98.37 / $515.06	Professional		$52.46	$98.37	$515.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $211.12 / $331.76	Facility		$122.50	$211.12	$331.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $209.52	Professional		$31.65	$209.52	$209.52
United Facility/Professional Professional Modifier Low / Median / High Price $160.81 / $189.90 / $285.83	Professional		$160.81	$189.90	$285.83