Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $298.19 / $1,376.97	Professional		$222.59	$298.19	$1,376.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $37.81 / $45.77	Professional		$28.36	$37.81	$45.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $331.53	Facility		$331.53	$331.53	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $331.53 / $374.14	Professional		$331.53	$331.53	$374.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $75.00 / $582.26	Professional		$47.61	$75.00	$582.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $346.63 / $373.79	Facility		$331.53	$346.63	$373.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $331.53 / $374.14	Professional		$331.53	$331.53	$374.14
United Facility/Professional Professional Modifier Low / Median / High Price $212.44 / $238.09 / $377.20	Professional		$212.44	$238.09	$377.20