Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $313.38 / $626.76	Facility		$156.69	$313.38	$626.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $250.70 / $1,343.36	Professional		$156.69	$250.70	$1,343.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.05 / $1,383.86 / $2,246.90	Facility		$376.05	$1,383.86	$2,246.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $170.90 / $196.38	Professional		$170.90	$170.90	$196.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $135.80 / $135.80	Facility		$135.80	$135.80	$135.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $187.28 / $263.38	Professional		$187.28	$187.28	$263.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.83 / $340.54 / $340.54	Professional		$323.83	$340.54	$340.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $148.12 / $324.98	Facility		$135.80	$148.12	$324.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $264.27 / $300.70	Professional		$240.26	$264.27	$300.70
United Facility/Professional Facility Modifier Low / Median / High Price $188.03 / $188.03 / $188.03	Facility		$188.03	$188.03	$188.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $119.71 / $125.35	Professional		$87.75	$119.71	$125.35