Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $645.65	Professional		$281.84	$380.19	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $58.88	Professional		$32.36	$38.02	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $281.84 / $281.84	Professional		$47.86	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $91.20 / $933.25	Professional		$37.15	$91.20	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $281.84 / $467.74	Facility		$114.82	$281.84	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $239.88 / $281.84	Professional		$47.86	$239.88	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $288.40 / $478.63	Facility		$28.84	$288.40	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $302.00 / $478.63	Professional		$269.15	$302.00	$478.63