Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $549.54 / $562.34	Facility		$257.04	$549.54	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $354.81	Professional		$112.20	$158.49	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,096.48 / $1,819.70	Facility		$512.86	$1,096.48	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $194.98	Professional		$151.36	$151.36	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $436.52	Professional		$263.03	$263.03	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $501.19	Facility		$114.82	$204.17	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $245.47	Professional		$134.90	$194.98	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $102.33	Professional		$53.70	$53.70	$102.33