Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.72 / $369.72 / $369.72	Facility		$369.72	$369.72	$369.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.72 / $504.69 / $1,933.69	Professional		$369.72	$504.69	$1,933.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.54 / $535.38 / $637.91	Professional		$401.54	$535.38	$637.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $418.79	Professional		$305.72	$418.79	$418.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $536.16 / $670.20 / $1,005.30	Professional		$536.16	$670.20	$1,005.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $215.86 / $503.66	Facility		$215.86	$215.86	$503.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $785.40	Professional		$305.72	$418.79	$785.40
United Facility/Professional Professional Modifier Low / Median / High Price $309.14 / $334.36 / $503.78	Professional		$309.14	$334.36	$503.78