Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.29 / $196.29 / $196.29	Facility		$196.29	$196.29	$196.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $301.45 / $1,539.99	Professional		$196.29	$301.45	$1,539.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.84 / $319.77 / $381.02	Professional		$239.84	$319.77	$381.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $494.49	Professional		$184.40	$184.40	$494.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $469.12 / $586.40 / $879.60	Professional		$469.12	$586.40	$879.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $300.83	Facility		$128.93	$128.93	$300.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $252.60 / $625.48	Professional		$184.40	$252.60	$625.48
United Facility/Professional Professional Modifier Low / Median / High Price $181.34 / $199.71 / $300.83	Professional		$181.34	$199.71	$300.83