Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.32 / $760.00 / $3,455.08	Professional		$567.32	$760.00	$3,455.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $94.04 / $116.67	Professional		$70.53	$94.04	$116.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $542.66	Facility		$542.66	$542.66	$542.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $542.66 / $910.19	Professional		$542.66	$542.66	$910.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $177.61 / $1,396.93	Professional		$118.41	$177.61	$1,396.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $822.87 / $952.67	Facility		$542.66	$822.87	$952.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $542.66 / $910.19	Professional		$542.66	$542.66	$910.19
United Facility/Professional Professional Modifier Low / Median / High Price $497.69 / $561.16 / $904.89	Professional		$497.69	$561.16	$904.89