Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $354.81 / $363.08	Facility		$162.18	$354.81	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $549.54	Professional		$72.44	$104.71	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $758.58 / $1,174.90	Facility		$331.13	$758.58	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $138.04	Professional		$97.72	$97.72	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $281.84	Professional		$169.82	$169.82	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $169.82 / $323.59	Facility		$70.79	$169.82	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $158.49	Professional		$97.72	$144.54	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $66.07	Professional		$45.71	$63.10	$66.07