Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $181.97 / $227.55	Professional		$143.76	$181.97	$227.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.34 / $179.12 / $330.44	Professional		$134.34	$179.12	$330.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $217.02	Facility		$217.02	$217.02	$217.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.32 / $191.47 / $451.52	Facility		$154.32	$191.47	$451.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $238.92 / $501.36	Professional		$167.84	$238.92	$501.36
United Facility/Professional Professional Modifier Low / Median / High Price $205.58 / $282.50 / $389.52	Professional		$205.58	$282.50	$389.52