Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.75 / $382.28 / $633.62	Facility		$330.75	$382.28	$633.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.62 / $158.40	Professional		$142.62	$142.62	$158.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.94 / $761.00 / $1,278.32	Facility		$213.94	$761.00	$1,278.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $116.67 / $138.09	Professional		$87.50	$116.67	$138.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $189.39 / $260.45	Professional		$135.19	$189.39	$260.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $145.48 / $232.49	Professional		$99.84	$145.48	$232.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $180.43 / $224.46	Professional		$150.47	$180.43	$224.46
United Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $66.69 / $95.27	Professional		$62.79	$66.69	$95.27