Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.74 / $240.74 / $240.74	Facility		$240.74	$240.74	$240.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.74 / $328.63 / $1,303.51	Professional		$240.74	$328.63	$1,303.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $348.61 / $415.37	Professional		$261.45	$348.61	$415.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $366.26 / $366.26	Facility		$366.26	$366.26	$366.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $366.26	Professional		$267.37	$366.26	$366.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.12 / $436.40 / $654.60	Professional		$349.12	$436.40	$654.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $366.26	Facility		$140.55	$140.55	$366.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $609.21	Professional		$267.37	$366.26	$609.21
United Facility/Professional Professional Modifier Low / Median / High Price $201.30 / $217.72 / $333.17	Professional		$201.30	$217.72	$333.17