Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $321.93 / $643.86	Facility		$160.97	$321.93	$643.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $257.54 / $1,380.01	Professional		$160.97	$257.54	$1,380.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.31 / $1,374.10 / $2,308.19	Facility		$386.31	$1,374.10	$2,308.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $139.50 / $139.50	Facility		$139.50	$139.50	$139.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $192.24 / $243.72	Professional		$192.24	$192.24	$243.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.66 / $349.83 / $349.83	Professional		$332.66	$349.83	$349.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $150.16 / $270.42	Facility		$139.50	$150.16	$270.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.50 / $259.69 / $298.32	Professional		$231.50	$259.69	$298.32
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $92.16 / $128.77	Professional		$90.14	$92.16	$128.77