Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $262.20 / $524.42	Facility		$131.11	$262.20	$524.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.11 / $209.77 / $1,124.03	Professional		$131.11	$209.77	$1,124.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.66 / $1,099.50 / $1,880.06	Facility		$314.66	$1,099.50	$1,880.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $142.99 / $164.32	Professional		$107.24	$142.99	$164.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $113.63 / $113.63	Facility		$113.63	$113.63	$113.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $156.59 / $198.25	Professional		$156.59	$156.59	$198.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $284.94 / $284.94	Professional		$270.95	$284.94	$284.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $169.50 / $220.26	Facility		$113.63	$169.50	$220.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.71 / $211.52 / $242.99	Professional		$184.71	$211.52	$242.99
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.53 / $104.89	Professional		$73.42	$73.53	$104.89