Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $407.58 / $407.58	Facility		$101.90	$407.58	$407.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $186.57 / $873.58	Professional		$101.90	$186.57	$873.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.55 / $896.70 / $1,461.16	Facility		$244.55	$896.70	$1,461.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $111.13 / $127.71	Professional		$72.23	$111.13	$127.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Facility		$88.31	$88.31	$88.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $156.11 / $255.03	Professional		$85.55	$156.11	$255.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Professional		$74.72	$74.72	$74.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.07 / $149.44 / $163.03	Facility		$129.07	$149.44	$163.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $144.32 / $208.32	Professional		$135.86	$144.32	$208.32
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $57.06 / $81.52	Professional		$40.86	$57.06	$81.52