Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.44 / $338.44 / $338.44	Facility		$338.44	$338.44	$338.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $275.70	Professional		$217.09	$217.09	$275.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $1,181.22 / $1,924.79	Facility		$464.98	$1,181.22	$1,924.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.76 / $217.09 / $217.09	Facility		$214.76	$217.09	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $289.92 / $375.83	Professional		$214.76	$289.92	$375.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $275.70	Facility		$217.09	$217.09	$275.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $268.45	Professional		$217.09	$217.09	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $230.12	Professional		$217.09	$217.09	$230.12