Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.84 / $277.68 / $555.36	Facility		$138.84	$277.68	$555.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $222.14 / $1,190.32	Professional		$138.84	$222.14	$1,190.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.68 / $1,021.86 / $10,971.41	Facility		$277.68	$1,021.86	$10,971.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $120.33 / $120.33	Facility		$120.33	$120.33	$120.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $165.89 / $210.13	Professional		$165.89	$165.89	$210.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.94 / $301.75 / $301.75	Professional		$286.94	$301.75	$301.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $185.12 / $233.25	Facility		$120.33	$185.12	$233.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.30 / $224.00 / $257.32	Professional		$195.30	$224.00	$257.32
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $77.75 / $111.07	Professional		$77.75	$77.75	$111.07