Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.48 / $310.08 / $1,400.01	Professional		$231.48	$310.08	$1,400.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $35.84 / $47.59	Professional		$26.88	$35.84	$47.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $299.44	Facility		$299.44	$299.44	$299.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $299.44 / $365.81	Professional		$299.44	$299.44	$365.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $98.58 / $802.35	Professional		$65.72	$98.58	$802.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.50 / $280.89 / $388.71	Facility		$209.50	$280.89	$388.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $299.44 / $365.81	Professional		$299.44	$299.44	$365.81
United Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $300.04 / $488.83	Professional		$235.28	$300.04	$488.83