Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.41 / $387.41 / $387.41	Facility		$387.41	$387.41	$387.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $250.98 / $347.90	Professional		$248.50	$250.98	$347.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.80 / $1,298.23 / $2,180.76	Facility		$526.80	$1,298.23	$2,180.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.63 / $248.50 / $304.14	Facility		$243.63	$248.50	$304.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $248.50	Professional		$248.50	$248.50	$248.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.32 / $328.48 / $425.81	Professional		$243.32	$328.48	$425.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.66 / $248.50 / $315.58	Facility		$244.66	$248.50	$315.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $304.14	Professional		$248.50	$248.50	$304.14
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $263.41	Professional		$248.50	$248.50	$263.41