Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $812.83 / $812.83	Facility		$741.31	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $295.12	Professional		$165.96	$199.53	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,380.38 / $2,238.72	Facility		$537.03	$1,380.38	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $537.03	Professional		$389.05	$389.05	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $741.31	Facility		$165.96	$316.23	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $354.81	Professional		$263.03	$275.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $147.91	Professional		$104.71	$104.71	$147.91