Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.38 / $607.38 / $607.38	Facility		$607.38	$607.38	$607.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $753.66 / $879.27	Professional		$516.40	$753.66	$879.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.93 / $75.91 / $124.82	Professional		$56.93	$75.91	$124.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.06 / $1,045.06 / $1,045.06	Facility		$1,045.06	$1,045.06	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $71.76	Professional		$24.99	$24.99	$71.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $149.78 / $224.67	Professional		$119.82	$149.78	$224.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $427.07 / $1,019.94	Facility		$89.68	$427.07	$1,019.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $71.76 / $178.24	Professional		$24.99	$71.76	$178.24
United Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $96.83 / $199.28	Professional		$60.85	$96.83	$199.28