Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $294.45 / $294.45	Facility		$294.45	$294.45	$294.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $452.21 / $2,146.85	Professional		$294.45	$452.21	$2,146.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.73 / $2,951.54 / $5,225.25	Facility		$870.73	$2,951.54	$5,225.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.04 / $419.04 / $419.04	Facility		$419.04	$419.04	$419.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $419.04 / $419.04	Professional		$305.89	$419.04	$419.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $600.50 / $900.75	Professional		$480.40	$600.50	$900.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.74 / $179.74 / $451.28	Facility		$179.74	$179.74	$451.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.89 / $419.04 / $703.72	Professional		$305.89	$419.04	$703.72
United Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $278.41 / $419.39	Professional		$252.80	$278.41	$419.39