Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.74 / $394.74 / $394.74	Facility		$394.74	$394.74	$394.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.74 / $506.59 / $506.59	Professional		$394.74	$506.59	$506.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $59.71 / $77.76	Professional		$44.78	$59.71	$77.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $356.59 / $356.59	Facility		$356.59	$356.59	$356.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $356.59 / $356.59	Professional		$58.89	$356.59	$356.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $112.77 / $961.80	Professional		$60.14	$112.77	$961.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $446.88 / $655.42	Facility		$356.59	$446.88	$655.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $356.59 / $356.59	Professional		$58.89	$356.59	$356.59
United Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $396.20 / $710.15	Professional		$367.90	$396.20	$710.15