Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.61 / $337.47 / $417.04	Professional		$273.61	$337.47	$417.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $367.35 / $569.30	Professional		$193.19	$367.35	$569.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $522.96	Professional		$32.34	$32.34	$522.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.63 / $379.54 / $496.23	Facility		$342.63	$379.54	$496.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $611.52 / $922.88	Professional		$378.23	$611.52	$922.88
United Facility/Professional Professional Modifier Low / Median / High Price $398.19 / $530.91 / $735.12	Professional		$398.19	$530.91	$735.12