Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.85 / $245.85 / $245.85	Facility		$245.85	$245.85	$245.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.85 / $377.55 / $1,752.42	Professional		$245.85	$377.55	$1,752.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.38 / $400.50 / $477.20	Professional		$300.38	$400.50	$477.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $297.02 / $297.02	Facility		$297.02	$297.02	$297.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $297.02	Professional		$216.82	$297.02	$297.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $401.08 / $501.36 / $752.04	Professional		$401.08	$501.36	$752.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.71 / $146.71 / $376.78	Facility		$146.71	$146.71	$376.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.82 / $297.02 / $587.53	Professional		$216.82	$297.02	$587.53
United Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $227.26 / $342.33	Professional		$206.35	$227.26	$342.33