Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.62 / $198.62 / $198.62	Facility		$198.62	$198.62	$198.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $271.13 / $1,008.49	Professional		$192.14	$271.13	$1,008.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.72 / $287.62 / $342.70	Professional		$215.72	$287.62	$342.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.66 / $231.66 / $231.66	Facility		$231.66	$231.66	$231.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $231.66	Professional		$169.11	$231.66	$231.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.04 / $360.05 / $540.07	Professional		$288.04	$360.05	$540.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $103.04 / $270.57	Facility		$103.04	$103.04	$270.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $231.66 / $409.61	Professional		$169.11	$231.66	$409.61
United Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $159.61 / $244.23	Professional		$147.56	$159.61	$244.23