Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.38 / $745.53 / $745.53	Facility		$186.38	$745.53	$745.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $186.38 / $708.00	Professional		$186.38	$186.38	$708.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.76 / $1,325.93 / $2,227.27	Facility		$372.76	$1,325.93	$2,227.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.53 / $161.53 / $161.53	Facility		$161.53	$161.53	$161.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $405.07 / $405.07	Professional		$385.19	$405.07	$405.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.53 / $248.51 / $313.12	Facility		$161.53	$248.51	$313.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.18 / $300.70 / $345.43	Professional		$262.18	$300.70	$345.43
United Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $104.37 / $149.11	Professional		$104.37	$104.37	$149.11