Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.89 / $368.89 / $368.89	Facility		$368.89	$368.89	$368.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $238.98 / $331.27	Professional		$236.62	$238.98	$331.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.21 / $1,062.42 / $1,731.20	Facility		$418.21	$1,062.42	$1,731.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.49 / $217.49 / $376.69	Professional		$217.49	$217.49	$376.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.12 / $236.62 / $291.39	Facility		$233.12	$236.62	$291.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $314.71 / $407.96	Professional		$233.12	$314.71	$407.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $300.50	Facility		$236.62	$236.62	$300.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $291.39	Professional		$236.62	$236.62	$291.39
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $250.82	Professional		$236.62	$236.62	$250.82