Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $205.50 / $411.00	Facility		$102.75	$205.50	$411.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $164.40 / $880.91	Professional		$102.75	$164.40	$880.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.60 / $859.19 / $1,473.44	Facility		$246.60	$859.19	$1,473.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.05 / $112.07 / $128.78	Professional		$84.05	$112.07	$128.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $89.05 / $89.05	Facility		$89.05	$89.05	$89.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $122.79 / $155.65	Professional		$122.79	$122.79	$155.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $212.35 / $223.31	Professional		$60.00	$212.35	$223.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $104.08 / $172.62	Facility		$89.05	$104.08	$172.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.79 / $165.77 / $190.43	Professional		$122.79	$165.77	$190.43
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $82.20	Professional		$57.54	$57.54	$82.20