Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $528.82 / $575.38	Professional		$242.66	$528.82	$575.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.30 / $393.68 / $524.91	Professional		$177.30	$393.68	$524.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $282.08	Professional		$282.08	$282.08	$282.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $750.53 / $750.53 / $1,071.07	Professional		$750.53	$750.53	$1,071.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.31 / $503.75 / $575.38	Facility		$470.31	$503.75	$575.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $282.08 / $558.65	Professional		$282.08	$282.08	$558.65
United Facility/Professional Professional Modifier Low / Median / High Price $271.07 / $293.18 / $441.64	Professional		$271.07	$293.18	$441.64