Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $303.60 / $607.20	Facility		$151.80	$303.60	$607.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $242.88 / $1,301.43	Professional		$151.80	$242.88	$1,301.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.33 / $1,269.39 / $2,176.90	Facility		$364.33	$1,269.39	$2,176.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $165.56 / $190.26	Professional		$124.17	$165.56	$190.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $131.56 / $131.56	Facility		$131.56	$131.56	$131.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $181.39 / $229.80	Professional		$181.39	$181.39	$229.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $313.72 / $329.91 / $329.91	Professional		$313.72	$329.91	$329.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $255.02 / $491.96	Facility		$131.56	$255.02	$491.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.17 / $244.90 / $281.33	Professional		$201.17	$244.90	$281.33
United Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $80.09 / $121.44	Professional		$80.09	$80.09	$121.44