Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $379.07 / $379.07	Facility		$243.61	$379.07	$379.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $309.38 / $558.32	Professional		$243.61	$309.38	$558.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.67 / $1,048.38 / $1,808.99	Facility		$292.67	$1,048.38	$1,808.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.76 / $219.76 / $286.73	Professional		$219.76	$219.76	$286.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $243.61 / $243.61	Facility		$238.54	$243.61	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $235.77 / $235.77	Professional		$235.77	$235.77	$235.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $243.61 / $255.79	Facility		$29.45	$243.61	$255.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
United Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61