Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $1,348.96	Professional		$151.36	$234.42	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $31.62	Professional		$18.20	$21.38	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $245.47	Professional		$204.17	$204.17	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $162.18 / $501.19	Professional		$26.92	$162.18	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $338.84	Facility		$131.83	$190.55	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $245.47	Professional		$112.20	$204.17	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $165.96 / $251.19	Facility		$18.62	$165.96	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $309.03	Professional		$158.49	$190.55	$309.03