Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $1,430.70 / $1,683.64	Professional		$638.59	$1,430.70	$1,683.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.39 / $1,360.43 / $1,388.52	Professional		$1,041.39	$1,360.43	$1,388.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,985.28 / $1,985.28 / $2,833.27	Professional		$1,985.28	$1,985.28	$2,833.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,244.06 / $1,306.26 / $1,522.02	Facility		$1,244.06	$1,306.26	$1,522.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $1,805.62	Professional		$742.34	$742.34	$1,805.62
United Facility/Professional Professional Modifier Low / Median / High Price $713.37 / $771.56 / $1,162.24	Professional		$713.37	$771.56	$1,162.24