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 $174.81 / $881.53 / $1,566.73	Facility		$174.81	$881.53	$1,566.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $142.99 / $174.81	Professional		$107.24	$142.99	$174.81
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 / $211.10 / $290.33	Professional		$156.59	$211.10	$290.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $284.94	Professional		$60.00	$60.00	$284.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $174.81 / $220.26	Facility		$113.63	$174.81	$220.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $211.52 / $251.73	Professional		$179.83	$211.52	$251.73
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $104.89	Professional		$73.42	$73.42	$104.89