Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.59 / $391.19 / $782.37	Facility		$195.59	$391.19	$782.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.59 / $312.95 / $1,676.88	Professional		$195.59	$312.95	$1,676.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $391.19 / $1,439.56 / $2,337.33	Facility		$391.19	$1,439.56	$2,337.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.51 / $169.51 / $169.51	Facility		$169.51	$169.51	$169.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.79 / $233.79 / $328.92	Professional		$233.79	$233.79	$328.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $404.22 / $425.09 / $425.09	Professional		$404.22	$425.09	$425.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $169.51 / $405.67	Facility		$149.72	$169.51	$405.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.91 / $329.90 / $375.35	Professional		$299.91	$329.90	$375.35
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $149.43 / $156.47	Professional		$109.53	$149.43	$156.47