Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.32 / $299.17 / $1,381.44	Professional		$223.32	$299.17	$1,381.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $38.01 / $45.93	Professional		$28.51	$38.01	$45.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $376.21	Professional		$333.25	$333.25	$376.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $75.00 / $584.17	Professional		$47.87	$75.00	$584.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $348.56 / $375.01	Facility		$333.25	$348.56	$375.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $376.21	Professional		$333.25	$333.25	$376.21
United Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $238.87 / $376.07	Professional		$211.80	$238.87	$376.07