Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.05 / $354.05 / $354.05	Facility		$354.05	$354.05	$354.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $317.94	Professional		$227.28	$227.28	$317.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.13 / $800.55 / $1,304.49	Facility		$315.13	$800.55	$1,304.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $205.57 / $361.54	Professional		$199.58	$205.57	$361.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $280.11	Facility		$227.28	$227.28	$280.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Professional		$227.28	$227.28	$227.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.09 / $230.81 / $361.39	Professional		$224.09	$230.81	$361.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.67 / $227.28 / $288.64	Facility		$212.67	$227.28	$288.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $280.11	Professional		$227.28	$227.28	$280.11
United Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $227.28 / $365.82	Facility		$221.71	$227.28	$365.82
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $240.92	Professional		$227.28	$227.28	$240.92