Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $265.88 / $531.75	Facility		$132.94	$265.88	$531.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $212.70 / $1,139.72	Professional		$132.94	$212.70	$1,139.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.88 / $978.42 / $1,588.60	Facility		$265.88	$978.42	$1,588.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $115.21 / $115.21	Facility		$115.21	$115.21	$115.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.76 / $158.76 / $223.65	Professional		$158.76	$158.76	$223.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.74 / $288.92 / $288.92	Professional		$274.74	$288.92	$288.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.21 / $243.64 / $275.73	Facility		$115.21	$243.64	$275.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.84 / $224.22 / $255.11	Professional		$203.84	$224.22	$255.11
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $101.56 / $106.35	Professional		$74.45	$101.56	$106.35