Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.72 / $229.72 / $229.72	Facility		$229.72	$229.72	$229.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.24 / $313.58 / $1,166.48	Professional		$222.24	$313.58	$1,166.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $332.65 / $396.35	Professional		$249.49	$332.65	$396.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $267.94	Facility		$267.94	$267.94	$267.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $267.94	Professional		$195.60	$267.94	$267.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $333.13 / $416.42 / $624.63	Professional		$333.13	$416.42	$624.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.17 / $119.17 / $312.93	Facility		$119.17	$119.17	$312.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $473.78	Professional		$195.60	$267.94	$473.78
United Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $184.60 / $282.49	Professional		$170.68	$184.60	$282.49