Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.12 / $380.12 / $380.12	Facility		$380.12	$380.12	$380.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $246.15 / $309.51	Professional		$243.71	$246.15	$309.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $1,320.38 / $2,151.54	Facility		$519.75	$1,320.38	$2,151.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $223.92 / $298.19	Professional		$223.92	$223.92	$298.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.61 / $243.71 / $300.08	Facility		$240.61	$243.71	$300.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $324.08 / $420.10	Professional		$240.06	$324.08	$420.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.71 / $309.51	Facility		$243.71	$243.71	$309.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $300.08	Professional		$243.71	$243.71	$300.08
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $258.33	Professional		$243.71	$243.71	$258.33