Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $263.10 / $526.20	Facility		$131.55	$263.10	$526.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $210.48 / $1,127.82	Professional		$131.55	$210.48	$1,127.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.74 / $1,123.07 / $1,886.52	Facility		$315.74	$1,123.07	$1,886.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $143.47 / $164.88	Professional		$107.61	$143.47	$164.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $114.01 / $114.01	Facility		$114.01	$114.01	$114.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $157.21 / $199.07	Professional		$157.21	$157.21	$199.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.87 / $285.89 / $285.89	Professional		$271.87	$285.89	$285.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.45 / $114.01 / $221.00	Facility		$97.45	$114.01	$221.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $212.23 / $243.81	Professional		$189.11	$212.23	$243.81
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $75.29 / $105.24	Professional		$73.67	$75.29	$105.24