Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $200.03 / $200.03	Facility		$200.03	$200.03	$200.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.03 / $273.06 / $999.99	Professional		$200.03	$273.06	$999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $289.64 / $345.13	Professional		$217.24	$289.64	$345.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $271.68	Professional		$198.33	$271.68	$271.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $362.60 / $543.90	Professional		$290.08	$362.60	$543.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $108.72 / $272.49	Facility		$108.72	$108.72	$272.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $424.92	Professional		$198.33	$271.68	$424.92
United Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $168.40 / $253.73	Professional		$155.69	$168.40	$253.73