Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.57 / $227.57 / $227.57	Facility		$227.57	$227.57	$227.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.62 / $310.66 / $1,425.96	Professional		$222.62	$310.66	$1,425.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.16 / $329.55 / $392.66	Professional		$247.16	$329.55	$392.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $239.78	Facility		$239.78	$239.78	$239.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $239.78	Professional		$175.04	$239.78	$239.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $412.54 / $618.80	Professional		$330.03	$412.54	$618.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $119.39 / $310.02	Facility		$119.39	$119.39	$310.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $239.78 / $517.46	Professional		$175.04	$239.78	$517.46
United Facility/Professional Professional Modifier Low / Median / High Price $170.98 / $211.69 / $278.63	Professional		$170.98	$211.69	$278.63