Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.55 / $246.55 / $246.55	Facility		$246.55	$246.55	$246.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.53 / $336.56 / $1,251.91	Professional		$238.53	$336.56	$1,251.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.77 / $357.02 / $425.40	Professional		$267.77	$357.02	$425.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $546.16	Professional		$209.36	$209.36	$546.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.55 / $446.94 / $670.41	Professional		$357.55	$446.94	$670.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $127.91 / $335.88	Facility		$127.91	$127.91	$335.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $286.80 / $520.67	Professional		$209.36	$286.80	$520.67
United Facility/Professional Professional Modifier Low / Median / High Price $183.19 / $198.13 / $298.45	Professional		$183.19	$198.13	$298.45