Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $278.80 / $555.60	Facility		$138.90	$278.80	$555.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $222.24 / $1,190.83	Professional		$104.03	$222.24	$1,190.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $999.28 / $1,659.86	Facility		$277.80	$999.28	$1,659.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $151.49 / $174.09	Professional		$113.62	$151.49	$174.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $120.38 / $120.38	Facility		$120.38	$120.38	$120.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $165.89 / $210.13	Professional		$165.89	$165.89	$210.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.06 / $301.88 / $301.88	Professional		$287.06	$301.88	$301.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $233.35 / $771.35	Facility		$120.38	$233.35	$771.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $234.28 / $266.69	Professional		$212.98	$234.28	$266.69
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $111.12	Professional		$77.78	$77.78	$111.12