Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $310.95 / $621.92	Facility		$155.47	$310.95	$621.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $248.77 / $1,333.00	Professional		$155.47	$248.77	$1,333.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.16 / $1,373.21 / $2,229.60	Facility		$373.16	$1,373.21	$2,229.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $169.58 / $194.87	Professional		$169.58	$169.58	$194.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $134.75 / $134.75	Facility		$134.75	$134.75	$134.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $185.73 / $261.33	Professional		$185.73	$185.73	$261.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $337.92 / $337.92	Professional		$321.33	$337.92	$337.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.54 / $134.75 / $322.48	Facility		$117.54	$134.75	$322.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.41 / $262.25 / $298.39	Professional		$238.41	$262.25	$298.39
United Facility/Professional Facility Modifier Low / Median / High Price $169.70 / $254.16 / $339.40	Facility		$169.70	$254.16	$339.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $118.79 / $124.39	Professional		$87.07	$118.79	$124.39