Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $467.74	Professional		$169.82	$208.93	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $446.68 / $724.44	Facility		$199.53	$446.68	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $436.52	Professional		$177.83	$245.47	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $229.09 / $407.38	Facility		$177.83	$229.09	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $380.19	Professional		$177.83	$239.88	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $562.34 / $562.34	Facility		$251.19	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $489.78	Professional		$173.78	$269.15	$489.78