Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.23 / $348.23 / $348.23	Facility		$348.23	$348.23	$348.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $348.23 / $496.40	Professional		$331.42	$348.23	$496.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $206.18 / $289.23	Professional		$128.11	$206.18	$289.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.98 / $611.83 / $750.86	Professional		$422.98	$611.83	$750.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $248.13 / $1,500.00	Professional		$85.00	$248.13	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.19 / $598.02 / $640.17	Facility		$520.19	$598.02	$640.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $611.83 / $750.86	Professional		$500.57	$611.83	$750.86
United Facility/Professional Professional Modifier Low / Median / High Price $505.27 / $723.60 / $988.19	Professional		$505.27	$723.60	$988.19