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 / $261.67 / $528.90	Professional		$163.55	$261.67	$528.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.52 / $1,367.59 / $2,345.31	Facility		$392.52	$1,367.59	$2,345.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.37 / $178.37 / $204.98	Professional		$178.37	$178.37	$204.98
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 $195.35 / $374.43 / $514.94	Professional		$195.35	$374.43	$514.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.99 / $355.44 / $355.44	Professional		$337.99	$355.44	$355.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $293.37 / $332.00	Facility		$141.74	$293.37	$332.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.77 / $303.10 / $443.77	Professional		$250.77	$303.10	$443.77
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $123.22 / $130.84	Professional		$91.59	$123.22	$130.84