Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.13 / $222.13 / $222.13	Facility		$222.13	$222.13	$222.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.58 / $303.22 / $1,323.32	Professional		$218.58	$303.22	$1,323.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.24 / $321.64 / $383.25	Professional		$241.24	$321.64	$383.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $292.48	Professional		$213.51	$292.48	$292.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $322.12 / $402.65 / $603.97	Professional		$322.12	$402.65	$603.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $117.21 / $302.58	Facility		$117.21	$117.21	$302.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $470.82	Professional		$213.51	$292.48	$470.82
United Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $181.55 / $277.83	Professional		$167.87	$181.55	$277.83