Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $129.22 / $270.23	Facility		$129.22	$129.22	$270.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.22 / $172.60 / $216.18	Professional		$129.22	$172.60	$216.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $481.91 / $807.33	Facility		$90.00	$481.91	$807.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.37 / $230.37 / $230.37	Facility		$230.37	$230.37	$230.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $236.47 / $299.33	Professional		$126.44	$236.47	$299.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.68 / $143.65 / $199.78	Facility		$81.68	$143.65	$199.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.60 / $299.33 / $398.16	Professional		$208.60	$299.33	$398.16
United Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $265.08 / $384.25	Professional		$192.32	$265.08	$384.25