Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $831.76 / $851.14	Facility		$389.05	$831.76	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $1,737.80	Professional		$181.97	$245.47	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,412.54 / $2,344.23	Facility		$389.05	$1,412.54	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $245.47	Professional		$138.04	$158.49	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $371.54	Professional		$234.42	$295.12	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $407.38 / $562.34	Professional		$144.54	$407.38	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $776.25	Facility		$173.78	$309.03	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $371.54	Professional		$234.42	$288.40	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $154.88	Professional		$109.65	$109.65	$154.88