Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $302.00 / $676.08	Facility		$213.80	$302.00	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $281.84	Facility		$194.98	$194.98	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $389.05	Professional		$190.55	$190.55	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $323.59	Facility		$194.98	$199.53	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $208.93	Professional		$190.55	$194.98	$208.93