Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.35 / $287.35 / $287.35	Facility		$287.35	$287.35	$287.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.35 / $441.29 / $1,641.41	Professional		$287.35	$441.29	$1,641.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.09 / $468.12 / $557.77	Professional		$351.09	$468.12	$557.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $325.37	Professional		$237.52	$325.37	$325.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $468.80 / $586.00 / $879.00	Professional		$468.80	$586.00	$879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $167.71 / $440.38	Facility		$167.71	$167.71	$440.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $325.37 / $666.68	Professional		$237.52	$325.37	$666.68
United Facility/Professional Professional Modifier Low / Median / High Price $235.87 / $259.77 / $391.32	Professional		$235.87	$259.77	$391.32