Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,949.84	Professional		$831.76	$1,122.02	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $173.78	Professional		$97.72	$112.20	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $501.19 / $501.19	Professional		$141.25	$501.19	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $269.15 / $3,890.45	Professional		$104.71	$269.15	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,513.56	Facility		$602.56	$933.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $501.19 / $512.86	Professional		$141.25	$501.19	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,071.52 / $1,445.44	Facility		$120.23	$1,071.52	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,995.26	Professional		$891.25	$1,230.27	$1,995.26