Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.07 / $228.07 / $228.07	Facility		$228.07	$228.07	$228.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.07 / $350.24 / $1,789.24	Professional		$228.07	$350.24	$1,789.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.66 / $371.54 / $442.69	Professional		$278.66	$371.54	$442.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.63 / $290.63 / $290.63	Facility		$290.63	$290.63	$290.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $290.63	Professional		$212.16	$290.63	$290.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $465.10 / $697.65	Professional		$372.08	$465.10	$697.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.80 / $149.80 / $349.53	Facility		$149.80	$149.80	$349.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $290.63 / $586.71	Professional		$212.16	$290.63	$586.71
United Facility/Professional Professional Modifier Low / Median / High Price $210.69 / $232.04 / $349.53	Professional		$210.69	$232.04	$349.53