Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.30 / $506.60 / $1,013.19	Facility		$253.30	$506.60	$1,013.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.30 / $405.28 / $2,171.60	Professional		$253.30	$405.28	$2,171.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.26 / $276.26 / $317.47	Professional		$276.26	$276.26	$317.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.52 / $219.52 / $219.52	Facility		$219.52	$219.52	$219.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.63 / $302.63 / $383.40	Professional		$302.63	$302.63	$383.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $523.48 / $550.50 / $550.50	Professional		$523.48	$550.50	$550.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $219.52 / $425.54	Facility		$93.94	$219.52	$425.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.63 / $408.65 / $469.44	Professional		$302.63	$408.65	$469.44
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $202.64	Professional		$54.40	$54.40	$202.64