Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $344.28 / $362.52	Facility		$151.19	$344.28	$362.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $129.99 / $584.00	Professional		$85.55	$129.99	$584.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $462.22 / $821.50	Facility		$137.49	$462.22	$821.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $92.75 / $192.91	Professional		$29.29	$92.75	$192.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Facility		$96.00	$96.00	$96.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $174.84 / $247.48	Professional		$116.04	$174.84	$247.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.28 / $170.19	Professional		$32.34	$50.28	$170.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $138.24 / $193.54	Facility		$100.98	$138.24	$193.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $223.79 / $332.44	Professional		$118.54	$223.79	$332.44
United Facility/Professional Facility Modifier Low / Median / High Price $194.81 / $194.81 / $194.81	Facility		$194.81	$194.81	$194.81
United Facility/Professional Professional Modifier Low / Median / High Price $135.25 / $146.16 / $285.02	Professional		$135.25	$146.16	$285.02