Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.15 / $250.15 / $250.15	Facility		$250.15	$250.15	$250.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.15 / $306.38 / $1,962.46	Professional		$250.15	$306.38	$1,962.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.63 / $407.51 / $485.55	Professional		$305.63	$407.51	$485.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $361.45	Professional		$263.86	$361.45	$361.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $597.81 / $747.27 / $1,120.90	Professional		$597.81	$747.27	$1,120.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $164.30 / $383.37	Facility		$164.30	$164.30	$383.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $597.82	Professional		$263.86	$361.45	$597.82
United Facility/Professional Professional Modifier Low / Median / High Price $231.09 / $254.50 / $383.37	Professional		$231.09	$254.50	$383.37