Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.91 / $608.00 / $861.75	Facility		$283.91	$608.00	$861.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $227.78 / $287.25	Professional		$171.59	$227.78	$287.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.86 / $853.85 / $1,391.34	Facility		$232.86	$853.85	$1,391.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.37 / $230.37 / $230.37	Facility		$230.37	$230.37	$230.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.25 / $397.72 / $1,291.06	Professional		$287.25	$397.72	$1,291.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.29 / $169.08 / $236.25	Facility		$91.29	$169.08	$236.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $378.67 / $425.89	Professional		$202.32	$378.67	$425.89
United Facility/Professional Professional Modifier Low / Median / High Price $222.17 / $301.81 / $514.42	Professional		$222.17	$301.81	$514.42