Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.67 / $359.67 / $359.67	Facility		$359.67	$359.67	$359.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.69 / $490.97 / $1,410.83	Professional		$293.69	$490.97	$1,410.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.62 / $520.82 / $620.55	Professional		$390.62	$520.82	$620.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $305.54	Professional		$223.04	$305.54	$305.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $521.58 / $651.98 / $977.97	Professional		$521.58	$651.98	$977.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.49 / $157.49 / $489.97	Facility		$157.49	$157.49	$489.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $305.54 / $620.58	Professional		$223.04	$305.54	$620.58
United Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $243.95 / $367.56	Professional		$220.49	$243.95	$367.56