Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.13 / $248.26 / $496.53	Facility		$124.13	$248.26	$496.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $198.61 / $1,064.23	Professional		$124.13	$198.61	$1,064.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.92 / $1,041.98 / $1,780.04	Facility		$297.92	$1,041.98	$1,780.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Professional		$88.00	$88.00	$88.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.58 / $107.58 / $107.58	Facility		$107.58	$107.58	$107.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.21 / $148.21 / $188.01	Professional		$148.21	$148.21	$188.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $269.77 / $269.77	Professional		$256.54	$269.77	$269.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.58 / $112.00 / $208.54	Facility		$107.58	$112.00	$208.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $200.27 / $230.06	Professional		$175.05	$200.27	$230.06
United Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $148.96	Facility		$148.96	$148.96	$148.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $69.69 / $99.31	Professional		$69.51	$69.69	$99.31