Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.95 / $287.39 / $383.20	Facility		$114.95	$287.39	$383.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $101.79 / $433.00	Professional		$95.79	$101.79	$433.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $600.79 / $1,030.33	Facility		$172.44	$600.79	$1,030.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.77 / $78.36 / $90.05	Professional		$58.77	$78.36	$90.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $62.27 / $62.27	Facility		$62.27	$62.27	$62.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $152.90 / $211.47	Professional		$85.89	$152.90	$211.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $156.15 / $156.15	Professional		$148.49	$156.15	$156.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $116.96 / $132.38	Facility		$62.27	$116.96	$132.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $123.39 / $181.21	Professional		$110.17	$123.39	$181.21
United Facility/Professional Professional Modifier Low / Median / High Price $40.24 / $50.30 / $57.48	Professional		$40.24	$50.30	$57.48