Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.42 / $561.85 / $1,045.68	Facility		$261.42	$561.85	$1,045.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.42 / $418.27 / $2,241.23	Professional		$261.42	$418.27	$2,241.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $627.41 / $2,267.53 / $3,748.83	Facility		$627.41	$2,267.53	$3,748.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $285.12 / $327.64	Professional		$213.84	$285.12	$327.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.56 / $226.56 / $226.56	Facility		$226.56	$226.56	$226.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.24 / $312.24 / $395.69	Professional		$312.24	$312.24	$395.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $540.27 / $568.15 / $568.15	Professional		$540.27	$568.15	$568.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.56 / $320.83 / $450.42	Facility		$226.56	$320.83	$450.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $421.76 / $484.50	Professional		$400.84	$421.76	$484.50
United Facility/Professional Facility Modifier Low / Median / High Price $348.56 / $348.56 / $348.56	Facility		$348.56	$348.56	$348.56
United Facility/Professional Professional Modifier Low / Median / High Price $146.40 / $165.92 / $209.14	Professional		$146.40	$165.92	$209.14