Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.14 / $263.14 / $271.57	Facility		$263.14	$263.14	$271.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $260.00 / $335.39	Professional		$250.00	$260.00	$335.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.95 / $1,006.78 / $1,726.54	Facility		$288.95	$1,006.78	$1,726.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $304.23 / $304.23	Professional		$140.91	$304.23	$304.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $196.20 / $196.20	Professional		$196.20	$196.20	$196.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.75 / $145.11 / $253.60	Facility		$108.75	$145.11	$253.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
United Facility/Professional Professional Modifier Low / Median / High Price $271.57 / $271.57 / $309.58	Professional		$271.57	$271.57	$309.58