Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $289.88 / $579.75	Facility		$144.94	$289.88	$579.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $231.90 / $1,242.59	Professional		$144.94	$231.90	$1,242.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.88 / $1,031.08 / $1,732.00	Facility		$289.88	$1,031.08	$1,732.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.08 / $158.08 / $193.25	Professional		$158.08	$158.08	$193.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $239.34 / $329.16	Professional		$173.02	$239.34	$329.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.54 / $315.00 / $315.00	Professional		$299.54	$315.00	$315.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $197.19 / $243.50	Facility		$125.61	$197.19	$243.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $233.83 / $283.66	Professional		$203.88	$233.83	$283.66
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $82.82 / $115.95	Professional		$81.17	$82.82	$115.95