Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $327.08 / $654.17	Facility		$163.55	$327.08	$654.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $180.99 / $261.67	Professional		$163.55	$180.99	$261.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.08 / $1,176.58 / $1,954.36	Facility		$327.08	$1,176.58	$1,954.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $141.74 / $141.74	Facility		$141.74	$141.74	$141.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $250.69 / $313.36	Professional		$111.62	$250.69	$313.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $218.06 / $218.06	Professional		$119.93	$218.06	$218.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.39 / $207.16 / $261.67	Facility		$113.39	$207.16	$261.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $178.81 / $218.06	Professional		$111.62	$178.81	$218.06
United Facility/Professional Facility Modifier Low / Median / High Price $146.10 / $155.19 / $155.19	Facility		$146.10	$155.19	$155.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $130.84	Professional		$91.59	$91.59	$130.84