Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.28 / $520.15 / $520.15	Professional		$388.28	$520.15	$520.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $62.12 / $79.84	Professional		$46.59	$62.12	$79.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $407.96	Facility		$407.96	$407.96	$407.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $407.96	Professional		$64.33	$407.96	$407.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $117.33 / $950.55	Professional		$62.57	$117.33	$950.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.64 / $439.56 / $644.69	Facility		$327.64	$439.56	$644.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $407.96 / $407.96	Professional		$64.33	$407.96	$407.96
United Facility/Professional Professional Modifier Low / Median / High Price $361.84 / $469.22 / $764.48	Professional		$361.84	$469.22	$764.48