Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $358.72 / $456.47	Facility		$142.63	$358.72	$456.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $148.38 / $480.00	Professional		$142.62	$148.38	$480.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.94 / $769.56 / $1,278.32	Facility		$213.94	$769.56	$1,278.32
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 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 $192.55 / $221.08 / $232.49	Professional		$192.55	$221.08	$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 $89.70 / $95.27 / $142.91	Professional		$89.70	$95.27	$142.91