Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $758.58 / $776.25	Facility		$354.81	$758.58	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $1,548.82	Professional		$154.88	$218.78	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,258.93 / $2,089.30	Facility		$354.81	$1,258.93	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $263.03	Professional		$208.93	$208.93	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $501.19	Professional		$363.08	$363.08	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $691.83	Facility		$151.36	$295.12	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $338.84	Professional		$128.82	$263.03	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $141.25	Professional		$97.72	$97.72	$141.25