Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $259.75 / $519.51	Facility		$129.88	$259.75	$519.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $207.80 / $1,113.48	Professional		$129.88	$207.80	$1,113.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.43 / $1,494.89 / $81,099.99	Facility		$1,235.43	$1,494.89	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $112.56 / $112.56	Facility		$112.56	$112.56	$112.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $265.30 / $430.71	Professional		$155.04	$265.30	$430.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.41 / $282.27 / $282.27	Professional		$268.41	$282.27	$282.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.04 / $266.16 / $338.74	Facility		$238.04	$266.16	$338.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.15 / $240.71 / $377.66	Professional		$199.15	$240.71	$377.66
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $146.22 / $288.93	Professional		$103.90	$146.22	$288.93