Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.55 / $259.10 / $518.19	Facility		$129.55	$259.10	$518.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.55 / $207.28 / $1,110.65	Professional		$129.55	$207.28	$1,110.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.92 / $1,140.08 / $1,857.75	Facility		$310.92	$1,140.08	$1,857.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $141.29 / $162.37	Professional		$141.29	$141.29	$162.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.27 / $112.27 / $112.27	Facility		$112.27	$112.27	$112.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.72 / $154.72 / $196.21	Professional		$154.72	$154.72	$196.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.73 / $281.55 / $281.55	Professional		$267.73	$281.55	$281.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $112.27 / $232.28	Facility		$111.98	$112.27	$232.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.64 / $214.92 / $240.09	Professional		$198.64	$214.92	$240.09
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $85.56 / $103.64	Professional		$72.55	$85.56	$103.64