Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $247.76 / $311.52	Professional		$245.30	$247.76	$311.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $240.40 / $285.22	Professional		$213.92	$240.40	$285.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Professional		$245.30	$245.30	$245.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.37 / $372.55 / $402.64	Professional		$248.37	$372.55	$402.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.90 / $245.30 / $280.82	Facility		$244.90	$245.30	$280.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $305.10	Professional		$245.30	$245.30	$305.10
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Professional		$245.30	$245.30	$245.30