Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $457.09 / $478.63	Facility		$169.82	$457.09	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $912.01	Professional		$93.33	$141.25	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $912.01 / $1,548.82	Facility		$426.58	$912.01	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $134.90	Professional		$87.10	$117.49	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $269.15	Professional		$128.82	$190.55	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $371.54	Professional		$218.78	$218.78	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $186.21 / $416.87	Facility		$95.50	$186.21	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $269.15	Professional		$128.82	$190.55	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $85.11	Professional		$60.26	$74.13	$85.11