Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $831.76 / $851.14	Facility		$389.05	$831.76	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $1,698.24	Professional		$181.97	$251.19	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,659.59 / $2,754.23	Facility		$602.56	$1,659.59	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $537.03	Professional		$229.09	$389.05	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $660.69	Professional		$398.11	$398.11	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $758.58	Facility		$165.96	$354.81	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $537.03	Professional		$229.09	$371.54	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $154.88	Professional		$107.15	$147.91	$154.88