Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.55 / $300.89 / $386.19	Facility		$96.55	$300.89	$386.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $154.47 / $827.73	Professional		$96.55	$154.47	$827.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.72 / $807.34 / $1,384.53	Facility		$231.72	$807.34	$1,384.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $83.67 / $83.67	Facility		$83.67	$83.67	$83.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $231.52 / $320.20	Professional		$115.35	$231.52	$320.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $209.83 / $209.83	Professional		$199.53	$209.83	$209.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $176.94 / $200.24	Facility		$83.67	$176.94	$200.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.04 / $170.57 / $274.39	Professional		$148.04	$170.57	$274.39
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $76.08 / $77.23	Professional		$54.07	$76.08	$77.23