Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $191.15 / $382.29	Facility		$95.57	$191.15	$382.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $152.91 / $819.38	Professional		$95.57	$152.91	$819.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.37 / $841.04 / $1,370.46	Facility		$229.37	$841.04	$1,370.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.83 / $82.83 / $82.83	Facility		$82.83	$82.83	$82.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $114.11 / $144.59	Professional		$114.11	$114.11	$144.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.52 / $207.71 / $207.71	Professional		$197.52	$207.71	$207.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.83 / $153.08 / $173.22	Facility		$82.83	$153.08	$173.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $160.29 / $177.13	Professional		$146.54	$160.29	$177.13
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $63.81 / $76.45	Professional		$53.52	$63.81	$76.45