Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $660.69	Facility		$239.88	$363.08	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $1,318.26	Professional		$151.36	$194.98	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $2,187.76	Facility		$602.56	$1,380.38	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $190.55	Professional		$123.03	$165.96	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $524.81	Professional		$309.03	$309.03	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $263.03 / $588.84	Facility		$134.90	$263.03	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $288.40	Professional		$181.97	$269.15	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $120.23	Professional		$85.11	$114.82	$120.23