Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $363.78 / $448.69	Professional		$278.56	$363.78	$448.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $413.65 / $474.44	Professional		$215.47	$413.65	$474.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $575.34	Professional		$32.34	$32.34	$575.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $350.58 / $425.28 / $545.48	Facility		$350.58	$425.28	$545.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $654.87 / $1,032.59	Professional		$418.11	$654.87	$1,032.59
United Facility/Professional Professional Modifier Low / Median / High Price $454.47 / $595.40 / $826.46	Professional		$454.47	$595.40	$826.46