Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $199.00 / $199.00	Facility		$199.00	$199.00	$199.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.00 / $212.96 / $1,311.10	Professional		$199.00	$212.96	$1,311.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.14 / $324.18 / $386.27	Professional		$243.14	$324.18	$386.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $229.50	Facility		$229.50	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $229.50	Professional		$167.54	$229.50	$229.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.65 / $405.82 / $608.73	Professional		$324.65	$405.82	$608.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.77 / $109.77 / $304.98	Facility		$109.77	$109.77	$304.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $399.38	Professional		$167.54	$229.50	$399.38
United Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $170.03 / $256.12	Professional		$154.38	$170.03	$256.12