Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.56 / $331.11 / $662.22	Facility		$165.56	$331.11	$662.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.56 / $264.89 / $1,419.36	Professional		$165.56	$264.89	$1,419.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $397.33 / $1,462.19 / $2,374.08	Facility		$397.33	$1,462.19	$2,374.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $180.57 / $207.50	Professional		$135.43	$180.57	$207.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $143.47 / $143.47	Facility		$143.47	$143.47	$143.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $278.54	Professional		$197.83	$197.83	$278.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $342.15 / $359.81 / $359.81	Professional		$342.15	$359.81	$359.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $303.43 / $343.38	Facility		$143.47	$303.43	$343.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $279.24 / $317.70	Professional		$253.85	$279.24	$317.70
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $126.48 / $132.44	Professional		$92.71	$126.48	$132.44