Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.50 / $313.12 / $450.99	Facility		$225.50	$313.12	$450.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $180.40 / $966.62	Professional		$112.75	$180.40	$966.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.60 / $942.81 / $1,616.84	Facility		$270.60	$942.81	$1,616.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.97 / $122.97 / $141.31	Professional		$122.97	$122.97	$141.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $97.71 / $97.71	Facility		$97.71	$97.71	$97.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $134.57 / $170.81	Professional		$134.57	$134.57	$170.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.01 / $245.04 / $245.04	Professional		$233.01	$245.04	$245.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.71 / $189.42 / $219.00	Facility		$97.71	$189.42	$219.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.88 / $190.17 / $216.48	Professional		$172.88	$190.17	$216.48
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $63.14 / $90.20	Professional		$63.14	$63.14	$90.20