Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $194.96 / $388.20	Facility		$194.96	$194.96	$388.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $310.56 / $1,637.26	Professional		$194.96	$310.56	$1,637.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $867.97 / $3,182.69 / $5,186.14	Facility		$867.97	$3,182.69	$5,186.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.87 / $553.87 / $553.87	Facility		$553.87	$553.87	$553.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $438.84 / $598.70	Professional		$307.30	$438.84	$598.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $37.57 / $351.84	Professional		$28.22	$37.57	$351.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.66 / $309.39 / $378.00	Facility		$214.66	$309.39	$378.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $443.65 / $598.70	Professional		$272.08	$443.65	$598.70
United Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $261.20 / $555.26	Professional		$242.04	$261.20	$555.26