Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.89 / $441.78 / $883.56	Facility		$220.89	$441.78	$883.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $353.42 / $1,893.76	Professional		$220.89	$353.42	$1,893.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $530.14 / $1,950.93 / $3,167.62	Facility		$530.14	$1,950.93	$3,167.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.92 / $240.92 / $276.85	Professional		$240.92	$240.92	$276.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.44 / $191.44 / $191.44	Facility		$191.44	$191.44	$191.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.87 / $263.87 / $371.52	Professional		$263.87	$263.87	$371.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $456.51 / $480.07 / $480.07	Professional		$456.51	$480.07	$480.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.44 / $259.93 / $458.14	Facility		$191.44	$259.93	$458.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.70 / $372.57 / $423.89	Professional		$338.70	$372.57	$423.89
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $168.75 / $176.71	Professional		$123.70	$168.75	$176.71