Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.09 / $864.37 / $925.65	Facility		$193.09	$864.37	$925.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.09 / $308.94 / $1,655.40	Professional		$193.09	$308.94	$1,655.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.41 / $1,614.58 / $2,768.87	Facility		$463.41	$1,614.58	$2,768.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $210.59 / $242.00	Professional		$157.94	$210.59	$242.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.34 / $167.34 / $167.34	Facility		$167.34	$167.34	$167.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.69 / $415.17 / $639.79	Professional		$230.69	$415.17	$639.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $399.05 / $419.64 / $419.64	Professional		$399.05	$419.64	$419.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.88 / $395.66 / $503.57	Facility		$353.88	$395.66	$503.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.07 / $357.86 / $560.99	Professional		$296.07	$357.86	$560.99
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $151.07 / $157.87	Professional		$108.13	$151.07	$157.87