Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.87 / $220.87 / $220.87	Facility		$220.87	$220.87	$220.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $301.50 / $1,322.56	Professional		$220.87	$301.50	$1,322.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $319.83 / $381.08	Professional		$239.87	$319.83	$381.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $277.45	Professional		$202.54	$277.45	$277.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.29 / $400.37 / $600.55	Professional		$320.29	$400.37	$600.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.33 / $277.33 / $277.45	Facility		$277.33	$277.33	$277.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $443.74	Professional		$202.54	$277.45	$443.74
United Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $188.91 / $284.62	Professional		$174.66	$188.91	$284.62