Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $118.62 / $238.54	Facility		$118.62	$118.62	$238.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $137.99 / $276.69	Professional		$113.09	$137.99	$276.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.46 / $2,356.86 / $4,041.82	Facility		$676.46	$2,356.86	$4,041.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $82.19 / $179.03	Professional		$32.49	$82.19	$179.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $168.97 / $237.74	Professional		$110.52	$168.97	$237.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.28 / $194.15	Professional		$32.34	$55.28	$194.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $121.89 / $190.83	Facility		$74.37	$121.89	$190.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $205.17 / $369.68	Professional		$132.76	$205.17	$369.68
United Facility/Professional Professional Modifier Low / Median / High Price $112.14 / $165.29 / $310.47	Professional		$112.14	$165.29	$310.47