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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $71.76 / $71.76	Professional		$71.76	$71.76	$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 / $282.00 / $1,008.48	Facility		$89.68	$282.00	$1,008.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $107.28 / $188.94	Professional		$71.76	$107.28	$188.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $79.23 / $175.79	Professional		$50.71	$79.23	$175.79