Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.50 / $357.00 / $714.00	Facility		$178.50	$357.00	$714.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $285.60 / $1,530.34	Professional		$178.50	$285.60	$1,530.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.40 / $1,492.60 / $2,559.69	Facility		$428.40	$1,492.60	$2,559.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $194.68 / $223.72	Professional		$146.01	$194.68	$223.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $154.69 / $154.69	Facility		$154.69	$154.69	$154.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $213.33 / $269.94	Professional		$213.33	$213.33	$269.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $368.90 / $387.94 / $387.94	Professional		$368.90	$387.94	$387.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $299.88 / $505.15	Facility		$154.69	$299.88	$505.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $287.98 / $330.82	Professional		$213.33	$287.98	$330.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $67.91 / $142.80	Professional		$67.91	$67.91	$142.80