Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.09 / $386.18 / $772.35	Facility		$193.09	$386.18	$772.35
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
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 / $451.75 / $621.27	Professional		$230.69	$451.75	$621.27
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 $167.34 / $353.88 / $400.48	Facility		$167.34	$353.88	$400.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.07 / $357.86 / $535.40	Professional		$296.07	$357.86	$535.40
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $148.63 / $154.47	Professional		$108.13	$148.63	$154.47