Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.72 / $314.55 / $630.27	Facility		$162.72	$314.55	$630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $251.64 / $1,579.08	Professional		$162.72	$251.64	$1,579.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.15 / $575.40 / $986.77	Facility		$165.15	$575.40	$986.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $197.89 / $491.65	Professional		$96.92	$197.89	$491.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $73.56 / $73.56	Facility		$73.56	$73.56	$73.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.21 / $312.57 / $483.49	Professional		$174.21	$312.57	$483.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $165.38 / $342.45	Professional		$32.34	$165.38	$342.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $240.52 / $256.93 / $348.75	Facility		$240.52	$256.93	$348.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.70 / $434.87 / $585.27	Professional		$209.70	$434.87	$585.27
United Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $69.19 / $1,228.94	Facility		$27.08	$69.19	$1,228.94
United Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $157.13 / $393.87	Professional		$139.44	$157.13	$393.87