Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.66 / $351.86 / $1,578.16	Professional		$262.66	$351.86	$1,578.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $42.17 / $54.01	Professional		$31.63	$42.17	$54.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $354.55	Facility		$354.55	$354.55	$354.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $354.55 / $427.32	Professional		$354.55	$354.55	$427.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $79.65 / $686.97	Professional		$53.10	$79.65	$686.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.85 / $310.88 / $441.07	Facility		$219.85	$310.88	$441.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $354.55 / $427.32	Professional		$354.55	$354.55	$427.32
United Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $314.86 / $512.98	Professional		$272.36	$314.86	$512.98