Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.04 / $255.04 / $255.04	Facility		$255.04	$255.04	$255.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $348.15 / $1,328.66	Professional		$208.25	$348.15	$1,328.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.98 / $369.31 / $440.04	Professional		$276.98	$369.31	$440.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $232.98	Professional		$170.08	$232.98	$232.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $541.77 / $677.22 / $1,015.83	Professional		$541.77	$677.22	$1,015.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.68 / $111.68 / $347.43	Facility		$111.68	$111.68	$347.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $418.74	Professional		$170.08	$232.98	$418.74
United Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $172.98 / $260.57	Professional		$159.94	$172.98	$260.57