Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $691.83 / $707.95	Facility		$323.59	$691.83	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $1,412.54	Professional		$147.91	$204.17	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,380.38 / $2,290.87	Facility		$645.65	$1,380.38	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $199.53	Professional		$131.83	$173.78	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Professional		$331.13	$331.13	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $630.96	Facility		$144.54	$275.42	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $309.03	Professional		$158.49	$239.88	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $128.82	Professional		$63.10	$63.10	$128.82