Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $305.25 / $610.50	Facility		$152.63	$305.25	$610.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $244.20 / $1,308.51	Professional		$152.63	$244.20	$1,308.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.30 / $1,302.93 / $2,188.64	Facility		$366.30	$1,302.93	$2,188.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $166.46 / $191.29	Professional		$124.85	$166.46	$191.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $132.28 / $132.28	Facility		$132.28	$132.28	$132.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.32 / $182.32 / $231.02	Professional		$182.32	$182.32	$231.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $331.71 / $331.71	Professional		$315.43	$331.71	$331.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.28 / $256.41 / $462.42	Facility		$132.28	$256.41	$462.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.85 / $246.24 / $282.87	Professional		$233.85	$246.24	$282.87
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $93.10 / $122.10	Professional		$85.47	$93.10	$122.10