Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $263.10 / $526.20	Facility		$131.55	$263.10	$526.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $210.48 / $1,127.82	Professional		$131.55	$210.48	$1,127.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.10 / $935.85 / $1,572.02	Facility		$263.10	$935.85	$1,572.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $143.47 / $175.40	Professional		$143.47	$143.47	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $114.01 / $114.01	Facility		$114.01	$114.01	$114.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $211.54 / $290.92	Professional		$157.21	$211.54	$290.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.87 / $285.89 / $285.89	Professional		$271.87	$285.89	$285.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $175.40 / $221.00	Facility		$114.01	$175.40	$221.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $212.23 / $252.58	Professional		$180.20	$212.23	$252.58
United Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Facility		$175.40	$175.40	$175.40
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $105.24	Professional		$73.67	$73.67	$105.24