Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.86 / $494.86 / $494.86	Facility		$494.86	$494.86	$494.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $404.53	Professional		$318.52	$318.52	$404.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.51 / $289.51 / $505.33	Professional		$289.51	$289.51	$505.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.00 / $318.52 / $389.20	Facility		$313.00	$318.52	$389.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Professional		$318.52	$318.52	$318.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $420.33 / $544.88	Professional		$311.36	$420.33	$544.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $318.52 / $404.53	Facility		$318.52	$318.52	$404.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $389.20	Professional		$318.52	$318.52	$389.20
United Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $318.52 / $337.64	Professional		$313.00	$318.52	$337.64