Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.76 / $335.75 / $2,859.19	Facility		$97.76	$335.75	$2,859.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $156.41 / $838.15	Professional		$97.76	$156.41	$838.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.63 / $863.44 / $1,401.91	Facility		$234.63	$863.44	$1,401.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $106.63 / $122.53	Professional		$79.97	$106.63	$122.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.73 / $84.73 / $84.73	Facility		$84.73	$84.73	$84.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $224.55 / $323.77	Professional		$116.90	$224.55	$323.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $212.47 / $212.47	Professional		$202.04	$212.47	$212.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.89 / $202.76 / $254.95	Facility		$164.89	$202.76	$254.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $172.71 / $278.00	Professional		$149.90	$172.71	$278.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $76.48 / $79.93	Professional		$54.75	$76.48	$79.93