Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $275.62 / $1,090.61	Professional		$176.31	$275.62	$1,090.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $30.06 / $36.26	Professional		$22.55	$30.06	$36.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $263.45	Facility		$263.45	$263.45	$263.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $263.45 / $297.51	Professional		$263.45	$263.45	$297.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $75.00 / $461.19	Professional		$37.85	$75.00	$461.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $275.63 / $296.07	Facility		$263.45	$275.63	$296.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $263.45 / $297.51	Professional		$263.45	$263.45	$297.51
United Facility/Professional Professional Modifier Low / Median / High Price $166.45 / $188.58 / $295.54	Professional		$166.45	$188.58	$295.54