Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.95 / $320.95 / $320.95	Facility		$320.95	$320.95	$320.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $438.13 / $1,439.88	Professional		$262.08	$438.13	$1,439.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.57 / $464.76 / $553.77	Professional		$348.57	$464.76	$553.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $311.77	Professional		$227.60	$311.77	$311.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $465.44 / $581.80 / $872.71	Professional		$465.44	$581.80	$872.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $437.24	Facility		$140.54	$140.54	$437.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $529.76	Professional		$227.60	$311.77	$529.76
United Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $256.08 / $328.00	Professional		$201.28	$256.08	$328.00