Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $602.56	Professional		$257.04	$346.74	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $53.70	Professional		$29.51	$35.48	$53.70
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 $43.65 / $281.84 / $281.84	Professional		$43.65	$281.84	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $123.03 / $977.24	Professional		$34.67	$123.03	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $436.52	Facility		$186.21	$288.40	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $239.88 / $281.84	Professional		$43.65	$239.88	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $263.03 / $446.68	Facility		$26.30	$263.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $436.52	Professional		$245.47	$275.42	$436.52