Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $3,630.78	Facility		$338.84	$489.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $758.58	Professional		$316.23	$316.23	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $2,137.96	Facility		$512.86	$1,288.25	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $371.54	Professional		$275.42	$338.84	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $977.24	Facility		$120.23	$190.55	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $549.54	Professional		$371.54	$467.74	$549.54