Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.27 / $572.54 / $1,145.09	Facility		$286.27	$572.54	$1,145.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $458.04 / $2,454.33	Professional		$286.27	$458.04	$2,454.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.06 / $2,393.81 / $4,105.18	Facility		$687.06	$2,393.81	$4,105.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.17 / $312.23 / $358.80	Professional		$234.17	$312.23	$358.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.11 / $248.11 / $248.11	Facility		$248.11	$248.11	$248.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.01 / $342.01 / $433.37	Professional		$342.01	$342.01	$433.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $591.64 / $622.16 / $622.16	Professional		$591.64	$622.16	$622.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.11 / $480.94 / $787.22	Facility		$248.11	$480.94	$787.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.01 / $461.86 / $530.55	Professional		$342.01	$461.86	$530.55
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $63.72 / $229.02	Professional		$63.72	$63.72	$229.02