Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $698.14 / $3,221.72	Professional		$521.14	$698.14	$3,221.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $78.75 / $107.15	Professional		$59.06	$78.75	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $670.25	Facility		$670.25	$670.25	$670.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $670.25 / $809.86	Professional		$670.25	$670.25	$809.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $168.24 / $1,362.82	Professional		$89.72	$168.24	$1,362.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $879.08 / $879.08	Facility		$670.25	$879.08	$879.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.25 / $670.25 / $809.86	Professional		$670.25	$670.25	$809.86
United Facility/Professional Professional Modifier Low / Median / High Price $549.42 / $610.39 / $994.47	Professional		$549.42	$610.39	$994.47