Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.95 / $476.52 / $476.52	Facility		$213.95	$476.52	$476.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $149.88 / $906.00	Professional		$141.06	$149.88	$906.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.73 / $894.46 / $1,533.93	Facility		$256.73	$894.46	$1,533.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $116.67 / $134.07	Professional		$87.50	$116.67	$134.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $92.71 / $92.71	Facility		$92.71	$92.71	$92.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $225.00 / $309.44	Professional		$127.75	$225.00	$309.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $232.49 / $232.49	Professional		$221.08	$232.49	$232.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $176.34 / $199.56	Facility		$92.71	$176.34	$199.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $186.04 / $266.67	Professional		$164.02	$186.04	$266.67
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $74.06 / $85.58	Professional		$59.90	$74.06	$85.58