Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $187.30 / $374.61	Facility		$93.65	$187.30	$374.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $149.84 / $802.91	Professional		$93.65	$149.84	$802.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.31 / $666.24 / $1,119.15	Facility		$187.31	$666.24	$1,119.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $102.14 / $124.87	Professional		$102.14	$102.14	$124.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $81.17	Facility		$81.17	$81.17	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $151.60 / $208.49	Professional		$111.94	$151.60	$208.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.55 / $203.54 / $203.54	Professional		$193.55	$203.54	$203.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $124.87 / $157.34	Facility		$81.17	$124.87	$157.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $151.09 / $179.81	Professional		$129.13	$151.09	$179.81
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $52.45 / $74.92	Professional		$52.45	$52.45	$74.92