Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.85 / $776.72 / $776.72	Facility		$214.85	$776.72	$776.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $196.75 / $1,054.26	Professional		$101.24	$196.75	$1,054.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.13 / $1,086.06 / $1,763.37	Facility		$295.13	$1,086.06	$1,763.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $134.12 / $154.12	Professional		$134.12	$134.12	$154.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $106.57 / $106.57	Facility		$106.57	$106.57	$106.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $146.97 / $206.86	Professional		$146.97	$146.97	$206.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.14 / $267.25 / $267.25	Professional		$254.14	$267.25	$267.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $108.37 / $255.05	Facility		$106.57	$108.37	$255.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $207.41 / $235.99	Professional		$188.55	$207.41	$235.99
United Facility/Professional Facility Modifier Low / Median / High Price $134.21 / $201.02 / $268.43	Facility		$134.21	$201.02	$268.43
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $93.95 / $98.38	Professional		$68.86	$93.95	$98.38