Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $227.39 / $227.39	Facility		$227.39	$227.39	$227.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.39 / $260.83 / $1,543.49	Professional		$227.39	$260.83	$1,543.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $370.44 / $441.38	Professional		$277.83	$370.44	$441.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $315.73	Facility		$315.73	$315.73	$315.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $315.73	Professional		$230.48	$315.73	$315.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.98 / $463.73 / $695.59	Professional		$370.98	$463.73	$695.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $134.44 / $348.50	Facility		$134.44	$134.44	$348.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $315.73 / $543.42	Professional		$230.48	$315.73	$543.42
United Facility/Professional Professional Modifier Low / Median / High Price $189.09 / $208.25 / $313.70	Professional		$189.09	$208.25	$313.70