Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $372.17 / $397.54	Professional		$150.79	$372.17	$397.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,504.05 / $1,772.35 / $1,849.60	Facility		$1,504.05	$1,772.35	$1,849.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Professional		$175.28	$175.28	$175.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $516.46 / $516.46 / $737.04	Professional		$516.46	$516.46	$737.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.56 / $339.82 / $395.93	Facility		$316.56	$339.82	$395.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $175.28 / $426.34	Professional		$175.28	$175.28	$426.34
United Facility/Professional Professional Modifier Low / Median / High Price $168.44 / $182.18 / $274.43	Professional		$168.44	$182.18	$274.43