Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $182.45 / $364.89	Facility		$91.22	$182.45	$364.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $145.96 / $782.08	Professional		$91.22	$145.96	$782.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $609.11 / $1,058.35	Facility		$121.63	$609.11	$1,058.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $99.49 / $121.63	Professional		$74.62	$99.49	$121.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $79.06 / $79.06	Facility		$79.06	$79.06	$79.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.84 / $201.11 / $276.58	Professional		$108.84	$201.11	$276.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.53 / $198.26 / $198.26	Professional		$188.53	$198.26	$198.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $165.68 / $189.20	Facility		$79.06	$165.68	$189.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.87 / $161.16 / $238.36	Professional		$139.87	$161.16	$238.36
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $72.98	Professional		$51.08	$69.59	$72.98