Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $373.92 / $373.92	Facility		$284.39	$373.92	$373.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $241.74 / $313.82	Professional		$208.00	$241.74	$313.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.87 / $758.53 / $1,236.02	Facility		$206.87	$758.53	$1,236.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $169.60 / $228.96	Professional		$169.60	$169.60	$228.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Facility		$265.58	$265.58	$265.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.45 / $140.45 / $140.45	Professional		$140.45	$140.45	$140.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.75 / $265.58 / $265.58	Facility		$223.75	$265.58	$265.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
United Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $284.39 / $284.56	Professional		$267.95	$284.39	$284.56