Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.32 / $270.32 / $270.32	Facility		$270.32	$270.32	$270.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.32 / $344.89 / $1,544.22	Professional		$270.32	$344.89	$1,544.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.29 / $440.38 / $524.72	Professional		$330.29	$440.38	$524.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $375.73	Facility		$375.73	$375.73	$375.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $375.73	Professional		$274.27	$375.73	$375.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $385.89 / $551.28 / $771.79	Professional		$385.89	$551.28	$771.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.79 / $358.79 / $375.73	Facility		$358.79	$358.79	$375.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $627.19	Professional		$274.27	$375.73	$627.19
United Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $244.39 / $394.61	Professional		$236.77	$244.39	$394.61