Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.26 / $636.88 / $636.88	Facility		$217.26	$636.88	$636.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $173.81 / $931.32	Professional		$108.63	$173.81	$931.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.72 / $959.43 / $1,557.77	Facility		$260.72	$959.43	$1,557.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $118.48 / $136.15	Professional		$118.48	$118.48	$136.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $94.15 / $94.15	Facility		$94.15	$94.15	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $129.91 / $182.69	Professional		$129.91	$129.91	$182.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.50 / $236.09 / $236.09	Professional		$224.50	$236.09	$236.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $94.15 / $225.30	Facility		$90.31	$94.15	$225.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $183.22 / $208.46	Professional		$166.57	$183.22	$208.46
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.99 / $86.90	Professional		$60.83	$82.99	$86.90