Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Facility		$349.02	$349.02	$349.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $352.51 / $443.25	Professional		$349.02	$352.51	$443.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.82 / $315.35 / $420.46	Professional		$209.82	$315.35	$420.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Facility		$349.01	$349.01	$349.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $349.01	Professional		$349.01	$349.01	$349.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.75 / $402.51 / $587.63	Professional		$281.75	$402.51	$587.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.51 / $349.02 / $383.92	Facility		$343.51	$349.02	$383.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $349.01 / $501.05	Professional		$349.01	$349.01	$501.05
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $349.02	Professional		$349.02	$349.02	$349.02