Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.37 / $161.37 / $322.89	Facility		$161.37	$161.37	$322.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.37 / $258.32 / $1,329.77	Professional		$161.37	$258.32	$1,329.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $57.00 / $240.71	Professional		$29.72	$57.00	$240.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.93 / $431.93 / $431.93	Facility		$431.93	$431.93	$431.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.05 / $287.64 / $392.93	Professional		$198.05	$287.64	$392.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.14 / $304.39	Professional		$32.34	$49.14	$304.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $199.02 / $254.25	Facility		$138.38	$199.02	$254.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.63 / $318.45 / $392.93	Professional		$164.63	$318.45	$392.93
United Facility/Professional Professional Modifier Low / Median / High Price $155.90 / $183.10 / $452.51	Professional		$155.90	$183.10	$452.51