Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $645.65 / $660.69	Facility		$302.00	$645.65	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $1,348.96	Professional		$141.25	$190.55	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,096.48 / $1,819.70	Facility		$302.00	$1,096.48	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $204.17	Professional		$165.96	$165.96	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $288.40	Professional		$181.97	$223.87	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $436.52	Professional		$60.26	$60.26	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $263.03 / $602.56	Facility		$134.90	$263.03	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $288.40	Professional		$144.54	$229.09	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Professional		$85.11	$85.11	$120.23