Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $424.33 / $4,327.52	Facility		$212.16	$424.33	$4,327.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $339.46 / $1,818.92	Professional		$103.68	$339.46	$1,818.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.32 / $1,526.32 / $2,535.31	Facility		$424.32	$1,526.32	$2,535.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $231.40 / $265.91	Professional		$173.55	$231.40	$265.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.87 / $183.87 / $183.87	Facility		$183.87	$183.87	$183.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $253.33 / $321.14	Professional		$253.33	$253.33	$321.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $438.46 / $461.09	Professional		$60.00	$438.46	$461.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $183.87 / $356.43	Facility		$120.83	$183.87	$356.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.33 / $342.28 / $393.20	Professional		$253.33	$342.28	$393.20
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $169.73	Professional		$118.81	$118.81	$169.73