Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.73 / $347.73 / $372.31	Facility		$347.73	$347.73	$372.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.48 / $303.80 / $347.73	Professional		$296.48	$303.80	$347.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.28 / $1,445.05 / $2,391.64	Facility		$400.28	$1,445.05	$2,391.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $251.75 / $251.75	Professional		$251.75	$251.75	$251.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Facility		$311.13	$311.13	$311.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $360.24 / $1,500.00	Professional		$50.00	$360.24	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.23 / $311.13 / $334.53	Facility		$258.23	$311.13	$334.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.13 / $311.13 / $311.13	Professional		$311.13	$311.13	$311.13
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $305.02	Professional		$305.02	$305.02	$305.02