Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $383.00 / $483.61	Professional		$183.43	$383.00	$483.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $360.35 / $367.79	Professional		$275.83	$360.35	$367.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $213.23	Professional		$213.23	$213.23	$213.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $525.86 / $525.86 / $750.47	Professional		$525.86	$525.86	$750.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.52 / $352.95 / $479.20	Facility		$329.52	$352.95	$479.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $213.23 / $518.65	Professional		$213.23	$213.23	$518.65
United Facility/Professional Professional Modifier Low / Median / High Price $204.91 / $221.62 / $333.85	Professional		$204.91	$221.62	$333.85