Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $891.25 / $912.01	Facility		$416.87	$891.25	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $954.99	Professional		$173.78	$223.87	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $2,454.71	Facility		$691.83	$1,513.56	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $257.04	Professional		$169.82	$223.87	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $309.03	Professional		$245.47	$245.47	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $707.95	Professional		$426.58	$426.58	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $354.81 / $812.83	Facility		$177.83	$354.81	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $398.11	Professional		$245.47	$363.08	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Professional		$114.82	$114.82	$165.96