Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.25 / $366.32 / $366.32	Facility		$302.25	$366.32	$366.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $241.80 / $1,295.65	Professional		$151.13	$241.80	$1,295.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.70 / $1,334.74 / $2,167.13	Facility		$362.70	$1,334.74	$2,167.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $164.83 / $189.41	Professional		$123.62	$164.83	$189.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $130.97 / $130.97	Facility		$130.97	$130.97	$130.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $180.46 / $253.96	Professional		$180.46	$180.46	$253.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $328.45 / $328.45	Professional		$312.33	$328.45	$328.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $148.12 / $313.44	Facility		$130.97	$148.12	$313.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $254.90 / $290.02	Professional		$231.73	$254.90	$290.02
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.46 / $120.90	Professional		$84.63	$115.46	$120.90