Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $437.04 / $874.08	Facility		$218.52	$437.04	$874.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.52 / $349.63 / $1,873.44	Professional		$218.52	$349.63	$1,873.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.46 / $1,832.50 / $3,133.65	Facility		$524.46	$1,832.50	$3,133.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $238.33 / $273.88	Professional		$178.75	$238.33	$273.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $261.08 / $330.56	Professional		$261.08	$261.08	$330.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $451.61 / $474.92 / $474.92	Professional		$451.61	$474.92	$474.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $319.12 / $367.11	Facility		$189.38	$319.12	$367.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.85 / $352.55 / $404.99	Professional		$307.85	$352.55	$404.99
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.56 / $174.82	Professional		$122.37	$122.56	$174.82