Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $380.06 / $380.06	Professional		$283.70	$380.06	$380.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $48.35 / $58.35	Professional		$36.26	$48.35	$58.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $283.73	Facility		$283.73	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $283.73 / $283.73	Professional		$47.85	$283.73	$283.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $91.62 / $742.81	Professional		$41.00	$91.62	$742.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.26 / $283.73 / $471.06	Facility		$204.26	$283.73	$471.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $283.73 / $283.73	Professional		$47.85	$283.73	$283.73
United Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $303.48 / $476.61	Professional		$268.16	$303.48	$476.61