Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $452.03 / $1,215.08	Facility		$226.01	$452.03	$1,215.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $361.62 / $1,937.68	Professional		$226.01	$361.62	$1,937.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.03 / $1,625.97 / $2,700.85	Facility		$452.03	$1,625.97	$2,700.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $246.50 / $283.27	Professional		$184.88	$246.50	$283.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $195.88 / $195.88	Facility		$195.88	$195.88	$195.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.07 / $270.07 / $342.03	Professional		$270.07	$270.07	$342.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.09 / $491.20 / $491.20	Professional		$467.09	$491.20	$491.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $358.86 / $379.70	Facility		$195.88	$358.86	$379.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $378.60 / $418.88	Professional		$346.55	$378.60	$418.88
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $180.81	Professional		$126.57	$126.57	$180.81