Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.79 / $239.51 / $1,105.96	Professional		$178.79	$239.51	$1,105.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.55 / $36.77	Professional		$22.91	$30.55	$36.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $267.62	Facility		$267.62	$267.62	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $267.62 / $302.31	Professional		$267.62	$267.62	$302.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $84.04 / $619.90	Professional		$56.03	$84.04	$619.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $280.08 / $300.23	Facility		$267.62	$280.08	$300.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $267.62 / $302.31	Professional		$267.62	$267.62	$302.31
United Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $191.23 / $297.97	Professional		$167.82	$191.23	$297.97