Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.12 / $153.12 / $305.29	Facility		$153.12	$153.12	$305.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $244.23 / $1,285.63	Professional		$153.12	$244.23	$1,285.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $487.56 / $1,787.79 / $2,913.17	Facility		$487.56	$1,787.79	$2,913.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.31 / $420.31 / $420.31	Facility		$420.31	$420.31	$420.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.41 / $295.44 / $415.63	Professional		$189.41	$295.44	$415.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $41.34 / $303.77	Professional		$30.73	$41.34	$303.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.96 / $176.35 / $230.99	Facility		$113.96	$176.35	$230.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $327.10 / $415.63	Professional		$168.35	$327.10	$415.63
United Facility/Professional Facility Modifier Low / Median / High Price $884.18 / $884.18 / $884.18	Facility		$884.18	$884.18	$884.18
United Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $188.30 / $437.03	Professional		$149.13	$188.30	$437.03