Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $358.98 / $358.98	Facility		$230.15	$358.98	$358.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $495.15	Professional		$230.15	$232.46	$495.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.51 / $812.81 / $1,365.35	Facility		$228.51	$812.81	$1,365.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Facility		$230.15	$230.15	$230.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $155.15 / $155.15	Professional		$155.15	$155.15	$155.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.69 / $145.71 / $230.15	Facility		$134.69	$145.71	$230.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15