Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,380.38 / $1,698.24	Professional		$630.96	$1,380.38	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,380.38	Professional		$1,047.13	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $1,995.26 / $2,951.21	Professional		$95.50	$1,995.26	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $2,089.30	Facility		$870.96	$1,445.44	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,174.90	Professional		$707.95	$776.25	$1,174.90