Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $851.14 / $870.96	Facility		$398.11	$851.14	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $1,737.80	Professional		$186.21	$245.47	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $81,283.05	Facility		$1,318.26	$1,584.89	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $251.19	Professional		$162.18	$213.80	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $380.19	Professional		$234.42	$295.12	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $512.86	Facility		$177.83	$346.74	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $389.05	Professional		$190.55	$302.00	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $371.54	Professional		$147.91	$154.88	$371.54