Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $465.97 / $585.91	Professional		$461.36	$465.97	$585.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.60 / $292.14 / $389.52	Professional		$241.60	$292.14	$389.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Facility		$461.36	$461.36	$461.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.55 / $817.53 / $817.53	Professional		$501.55	$817.53	$817.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.36 / $461.36 / $585.91	Facility		$461.36	$461.36	$585.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $1,123.74	Professional		$461.36	$461.36	$1,123.74
United Facility/Professional Professional Modifier Low / Median / High Price $461.36 / $461.36 / $461.36	Professional		$461.36	$461.36	$461.36