Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $316.92 / $396.23	Facility		$198.67	$316.92	$396.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.67 / $316.98 / $1,675.12	Professional		$198.67	$316.98	$1,675.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.11 / $1,595.44 / $2,599.75	Facility		$435.11	$1,595.44	$2,599.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.12 / $546.12 / $546.12	Facility		$546.12	$546.12	$546.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $406.43 / $537.07	Professional		$289.62	$406.43	$537.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.56 / $361.00	Professional		$32.34	$50.56	$361.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.52 / $277.57 / $352.83	Facility		$181.52	$277.57	$352.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.23 / $449.98 / $537.07	Professional		$259.23	$449.98	$537.07
United Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $259.35 / $671.51	Professional		$228.05	$259.35	$671.51