Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $259.77 / $259.77	Facility		$259.77	$259.77	$259.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $398.94 / $2,038.00	Professional		$259.77	$398.94	$2,038.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $423.19 / $504.24	Professional		$317.39	$423.19	$504.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $331.03	Facility		$331.03	$331.03	$331.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $331.03	Professional		$241.65	$331.03	$331.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $423.80 / $529.76 / $794.64	Professional		$423.80	$529.76	$794.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $170.63 / $398.13	Facility		$170.63	$170.63	$398.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $331.03 / $620.82	Professional		$241.65	$331.03	$620.82
United Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $264.29 / $398.13	Professional		$239.99	$264.29	$398.13