Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.70 / $283.70 / $283.70	Facility		$283.70	$283.70	$283.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $387.28 / $1,627.29	Professional		$254.06	$387.28	$1,627.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.12 / $410.82 / $489.50	Professional		$308.12	$410.82	$489.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $293.77	Professional		$214.45	$293.77	$293.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $602.67 / $753.35 / $1,130.02	Professional		$602.67	$753.35	$1,130.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $136.24 / $386.47	Facility		$136.24	$136.24	$386.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $551.38	Professional		$214.45	$293.77	$551.38
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $479.40 / $564.00	Facility		$479.40	$479.40	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.11 / $241.57 / $325.19	Professional		$195.11	$241.57	$325.19