Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $274.67 / $1,249.03	Professional		$205.04	$274.67	$1,249.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $32.79 / $42.16	Professional		$24.60	$32.79	$42.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $277.51	Facility		$277.51	$277.51	$277.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $277.51 / $331.28	Professional		$277.51	$277.51	$331.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $90.22 / $710.78	Professional		$60.15	$90.22	$710.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $244.75 / $344.31	Facility		$173.01	$244.75	$344.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $277.51 / $331.28	Professional		$277.51	$277.51	$331.28
United Facility/Professional Professional Modifier Low / Median / High Price $215.97 / $247.79 / $403.70	Professional		$215.97	$247.79	$403.70