Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.07 / $248.07 / $248.07	Facility		$248.07	$248.07	$248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $338.63 / $1,259.71	Professional		$240.00	$338.63	$1,259.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $359.22 / $428.02	Professional		$269.42	$359.22	$428.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Facility		$318.35	$318.35	$318.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $318.35 / $318.35	Professional		$232.40	$318.35	$318.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $449.69 / $674.53	Professional		$359.75	$449.69	$674.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $337.94	Facility		$128.69	$128.69	$337.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $318.35 / $511.64	Professional		$232.40	$318.35	$511.64
United Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $199.36 / $300.30	Professional		$184.32	$199.36	$300.30