Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.64 / $813.87 / $813.87	Professional		$637.64	$813.87	$813.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $80.55 / $124.87	Professional		$60.41	$80.55	$124.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.59 / $816.59 / $816.59	Facility		$816.59	$816.59	$816.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $816.59 / $816.59	Professional		$92.43	$816.59	$816.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $224.76 / $2,077.80	Professional		$119.87	$224.76	$2,077.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $682.79 / $721.86 / $1,058.73	Facility		$682.79	$721.86	$1,058.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $816.59 / $816.59	Professional		$92.43	$816.59	$816.59
United Facility/Professional Professional Modifier Low / Median / High Price $506.05 / $598.33 / $1,039.80	Professional		$506.05	$598.33	$1,039.80