Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $296.99 / $593.97	Facility		$148.49	$296.99	$593.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $237.59 / $1,273.08	Professional		$148.49	$237.59	$1,273.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.38 / $1,311.50 / $2,129.40	Facility		$356.38	$1,311.50	$2,129.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $186.11	Professional		$161.96	$161.96	$186.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $177.36 / $249.87	Professional		$177.36	$177.36	$249.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $322.72 / $322.72	Professional		$306.88	$322.72	$322.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $148.12 / $307.98	Facility		$128.69	$148.12	$307.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.69 / $250.46 / $284.97	Professional		$227.69	$250.46	$284.97
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $113.45 / $118.79	Professional		$83.16	$113.45	$118.79