Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.60 / $311.19 / $622.38	Facility		$155.60	$311.19	$622.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $248.95 / $1,333.97	Professional		$155.60	$248.95	$1,333.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.19 / $1,145.18 / $1,859.36	Facility		$311.19	$1,145.18	$1,859.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $169.70 / $195.01	Professional		$127.28	$169.70	$195.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $134.85 / $134.85	Facility		$134.85	$134.85	$134.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $185.73 / $261.75	Professional		$185.73	$185.73	$261.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.56 / $338.16 / $338.16	Professional		$321.56	$338.16	$338.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $149.72 / $322.70	Facility		$134.85	$149.72	$322.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $262.44 / $298.60	Professional		$238.58	$262.44	$298.60
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $118.87 / $124.48	Professional		$87.13	$118.87	$124.48