Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.64 / $1,209.20 / $5,557.27	Professional		$902.64	$1,209.20	$5,557.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $141.38 / $185.58	Professional		$106.04	$141.38	$185.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,217.05	Facility		$1,217.05	$1,217.05	$1,217.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,455.57	Professional		$1,217.05	$1,217.05	$1,455.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $267.06 / $2,360.68	Professional		$142.43	$267.06	$2,360.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,417.27 / $1,498.73	Facility		$1,217.05	$1,417.27	$1,498.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,455.57	Professional		$1,217.05	$1,217.05	$1,455.57
United Facility/Professional Professional Modifier Low / Median / High Price $902.07 / $984.07 / $1,603.29	Professional		$902.07	$984.07	$1,603.29