Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.60 / $180.60 / $180.60	Facility		$180.60	$180.60	$180.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.60 / $277.08 / $1,394.77	Professional		$180.60	$277.08	$1,394.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $232.86 / $331.99	Professional		$174.65	$232.86	$331.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $301.51	Professional		$220.10	$301.51	$301.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $347.53 / $521.29	Professional		$278.02	$347.53	$521.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $99.73 / $301.51	Facility		$99.73	$99.73	$301.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.55 / $301.51 / $375.83	Professional		$205.55	$301.51	$375.83
United Facility/Professional Professional Modifier Low / Median / High Price $207.82 / $220.78 / $346.36	Professional		$207.82	$220.78	$346.36