Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $385.18 / $385.18	Professional		$287.52	$385.18	$385.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $35.82 / $59.09	Professional		$26.87	$35.82	$59.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $329.00 / $329.00	Facility		$329.00	$329.00	$329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $41.42 / $329.00	Professional		$41.42	$41.42	$329.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $92.79 / $1,063.08	Professional		$49.48	$92.79	$1,063.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.02 / $325.50 / $477.40	Facility		$313.02	$325.50	$477.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $308.80 / $329.00	Professional		$41.42	$308.80	$329.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $274.36 / $476.80	Professional		$208.96	$274.36	$476.80