Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.95 / $260.14 / $282.97	Facility		$199.95	$260.14	$282.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $169.96 / $199.95	Professional		$160.37	$169.96	$199.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $516.03 / $840.86	Facility		$140.72	$516.03	$840.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $87.00 / $152.58	Professional		$57.42	$87.00	$152.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.56 / $95.56 / $95.56	Professional		$95.56	$95.56	$95.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.85 / $104.25 / $186.76	Facility		$93.85	$104.25	$186.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
United Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $199.95 / $200.10	Professional		$188.43	$199.95	$200.10