Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.54 / $383.54 / $383.54	Facility		$383.54	$383.54	$383.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.53 / $523.57 / $1,902.18	Professional		$374.53	$523.57	$1,902.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.56 / $555.41 / $661.77	Professional		$416.56	$555.41	$661.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $389.66 / $389.66	Facility		$389.66	$389.66	$389.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.65 / $389.66	Professional		$284.45	$389.65	$389.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $556.22 / $695.28 / $1,042.92	Professional		$556.22	$695.28	$1,042.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.84 / $200.84 / $522.49	Facility		$200.84	$200.84	$522.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $389.66 / $814.78	Professional		$284.45	$389.66	$814.78
United Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $311.10 / $476.06	Professional		$287.64	$311.10	$476.06