Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $1,862.09	Professional		$229.09	$363.08	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $47.86	Professional		$26.92	$33.88	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Professional		$302.00	$302.00	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $234.42 / $1,000.00	Professional		$52.48	$234.42	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $537.03	Facility		$208.93	$288.40	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $363.08	Professional		$177.83	$302.00	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $239.88 / $371.54	Facility		$29.51	$239.88	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $489.78	Professional		$234.42	$302.00	$489.78