Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $225.50 / $450.99	Facility		$112.75	$225.50	$450.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $180.40 / $180.40	Professional		$112.75	$180.40	$180.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.50 / $802.09 / $1,347.33	Facility		$225.50	$802.09	$1,347.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $122.97 / $150.33	Professional		$122.97	$122.97	$150.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $97.71 / $97.71	Facility		$97.71	$97.71	$97.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $187.21 / $257.47	Professional		$134.57	$187.21	$257.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.01 / $245.04 / $245.04	Professional		$233.01	$245.04	$245.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $150.33 / $189.42	Facility		$97.71	$150.33	$189.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $187.21 / $221.88	Professional		$158.60	$187.21	$221.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $90.20	Professional		$63.14	$63.14	$90.20