Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.16 / $244.16 / $244.16	Facility		$244.16	$244.16	$244.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.16 / $265.79 / $1,394.77	Professional		$244.16	$265.79	$1,394.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.98 / $2,447.32 / $4,332.64	Facility		$721.98	$2,447.32	$4,332.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.31 / $397.75 / $473.93	Professional		$298.31	$397.75	$473.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.81 / $312.81 / $312.81	Facility		$312.81	$312.81	$312.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $312.81 / $312.81	Professional		$228.35	$312.81	$312.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.33 / $497.92 / $746.88	Professional		$398.33	$497.92	$746.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.53 / $142.53 / $374.18	Facility		$142.53	$142.53	$374.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.35 / $312.81 / $566.50	Professional		$228.35	$312.81	$566.50
United Facility/Professional Professional Modifier Low / Median / High Price $200.46 / $220.78 / $332.57	Professional		$200.46	$220.78	$332.57