Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.95 / $398.95 / $398.95	Facility		$398.95	$398.95	$398.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $544.60 / $2,610.17	Professional		$398.95	$544.60	$2,610.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.28 / $577.71 / $688.35	Professional		$433.28	$577.71	$688.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $472.30	Professional		$344.78	$472.30	$472.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $506.24 / $723.20 / $1,012.48	Professional		$506.24	$723.20	$1,012.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $218.52 / $543.49	Facility		$218.52	$218.52	$543.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $847.50	Professional		$344.78	$472.30	$847.50
United Facility/Professional Professional Modifier Low / Median / High Price $312.97 / $407.10 / $521.61	Professional		$312.97	$407.10	$521.61