Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.44 / $248.44 / $248.44	Facility		$248.44	$248.44	$248.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.44 / $381.54 / $1,832.33	Professional		$248.44	$381.54	$1,832.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.56 / $404.74 / $482.25	Professional		$303.56	$404.74	$482.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $297.62	Professional		$217.26	$297.62	$297.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $405.32 / $506.66 / $759.99	Professional		$405.32	$506.66	$759.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $153.41 / $380.74	Facility		$153.41	$153.41	$380.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $297.62 / $629.02	Professional		$217.26	$297.62	$629.02
United Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $237.62 / $357.94	Professional		$215.76	$237.62	$357.94