Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.41 / $266.41 / $266.41	Facility		$266.41	$266.41	$266.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.53 / $363.67 / $1,494.53	Professional		$251.53	$363.67	$1,494.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $385.78 / $459.66	Professional		$289.33	$385.78	$459.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $327.20	Facility		$327.20	$327.20	$327.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $327.20	Professional		$238.86	$327.20	$327.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.34 / $482.93 / $724.39	Professional		$386.34	$482.93	$724.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $362.93	Facility		$134.88	$134.88	$362.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $560.67	Professional		$238.86	$327.20	$560.67
United Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $276.08 / $298.99	Facility		$160.97	$276.08	$298.99
United Facility/Professional Professional Modifier Low / Median / High Price $193.18 / $239.17 / $319.72	Professional		$193.18	$239.17	$319.72