Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $2,187.76	Professional		$263.03	$354.81	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $53.70	Professional		$31.62	$35.48	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $426.58	Professional		$354.81	$354.81	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $281.84 / $851.14	Professional		$43.65	$281.84	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $562.34	Facility		$218.78	$323.59	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $426.58	Professional		$186.21	$354.81	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $288.40 / $426.58	Facility		$30.90	$288.40	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $512.86	Professional		$275.42	$316.23	$512.86