Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $426.58	Professional		$194.98	$269.15	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $478.63	Professional		$302.00	$398.11	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $741.31	Professional		$204.17	$204.17	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $758.58	Professional		$398.11	$501.19	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $380.19 / $645.65	Facility		$144.54	$380.19	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $588.84	Professional		$204.17	$204.17	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $602.56	Facility		$169.82	$245.47	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $575.44	Professional		$204.17	$223.87	$575.44