Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.89 / $369.78 / $739.56	Facility		$184.89	$369.78	$739.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $295.82 / $1,585.12	Professional		$184.89	$295.82	$1,585.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.75 / $1,552.04 / $2,651.38	Facility		$443.75	$1,552.04	$2,651.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $160.24 / $160.24	Facility		$160.24	$160.24	$160.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $220.77 / $279.77	Professional		$220.77	$220.77	$279.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $382.11 / $401.83 / $401.83	Professional		$382.11	$401.83	$401.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $160.24 / $310.62	Facility		$58.84	$160.24	$310.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.73 / $298.29 / $342.66	Professional		$260.73	$298.29	$342.66
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.80 / $147.91	Professional		$103.54	$103.80	$147.91