Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.78 / $526.17 / $526.17	Professional		$392.78	$526.17	$526.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $40.74 / $80.69	Professional		$30.56	$40.74	$80.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.75 / $654.75 / $654.75	Facility		$654.75	$654.75	$654.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $654.75 / $654.75	Professional		$44.35	$654.75	$654.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.57 / $126.70 / $1,736.28	Professional		$67.57	$126.70	$1,736.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.16 / $511.16 / $654.75	Facility		$511.16	$511.16	$654.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $654.75 / $654.75	Professional		$44.35	$654.75	$654.75
United Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $448.28 / $778.32	Professional		$397.78	$448.28	$778.32