Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $262.02 / $1,166.60	Professional		$195.60	$262.02	$1,166.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $31.66 / $40.22	Professional		$23.75	$31.66	$40.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $265.97	Facility		$265.97	$265.97	$265.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $265.97 / $315.91	Professional		$265.97	$265.97	$315.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $75.00 / $511.60	Professional		$39.86	$75.00	$511.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.62 / $230.19 / $328.46	Facility		$160.62	$230.19	$328.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.97 / $265.97 / $315.91	Professional		$265.97	$265.97	$315.91
United Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $231.88 / $374.79	Professional		$201.72	$231.88	$374.79