Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $393.55 / $393.55	Professional		$293.77	$393.55	$393.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $34.35 / $60.36	Professional		$25.76	$34.35	$60.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $330.77	Facility		$330.77	$330.77	$330.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $330.77 / $330.77	Professional		$35.97	$330.77	$330.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $94.77 / $1,164.11	Professional		$50.54	$94.77	$1,164.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $342.68 / $487.78	Facility		$330.77	$342.68	$487.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $330.77 / $330.77	Professional		$35.97	$330.77	$330.77
United Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $300.29 / $521.88	Professional		$249.88	$300.29	$521.88