Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $637.64 / $637.64	Facility		$172.54	$637.64	$637.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $275.95 / $1,419.51	Professional		$172.54	$275.95	$1,419.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.08 / $1,360.69 / $2,217.23	Facility		$371.08	$1,360.69	$2,217.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $57.62 / $256.91	Professional		$30.04	$57.62	$256.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.27 / $465.27 / $465.27	Facility		$465.27	$465.27	$465.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.17 / $326.70 / $451.37	Professional		$248.17	$326.70	$451.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $49.68 / $324.08	Professional		$32.27	$49.68	$324.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.23 / $268.77 / $364.50	Facility		$204.23	$268.77	$364.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.64 / $361.70 / $451.37	Professional		$220.64	$361.70	$451.37
United Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $208.22 / $482.77	Professional		$195.52	$208.22	$482.77