Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.64 / $296.64 / $296.64	Facility		$296.64	$296.64	$296.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $404.93 / $1,510.35	Professional		$242.22	$404.93	$1,510.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.16 / $429.55 / $511.81	Professional		$322.16	$429.55	$511.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $260.88	Professional		$190.44	$260.88	$260.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.17 / $537.72 / $806.58	Professional		$430.17	$537.72	$806.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $404.10	Facility		$129.88	$129.88	$404.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $260.88 / $613.44	Professional		$190.44	$260.88	$613.44
United Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $201.20 / $303.14	Professional		$186.02	$201.20	$303.14