Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.74 / $319.74 / $319.74	Facility		$319.74	$319.74	$319.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $436.47 / $1,254.20	Professional		$261.08	$436.47	$1,254.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.25 / $463.00 / $551.66	Professional		$347.25	$463.00	$551.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $281.20	Facility		$281.20	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $281.20	Professional		$205.28	$281.20	$281.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $679.21 / $849.02 / $1,273.53	Professional		$679.21	$849.02	$1,273.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $435.57	Facility		$140.00	$140.00	$435.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $281.20 / $509.41	Professional		$205.28	$281.20	$509.41
United Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $248.25 / $326.75	Professional		$196.01	$248.25	$326.75