Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.90 / $301.11 / $344.69	Facility		$166.90	$301.11	$344.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $166.90 / $374.88	Professional		$119.23	$166.90	$374.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $616.16 / $1,056.68	Facility		$176.85	$616.16	$1,056.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $178.69 / $217.58	Professional		$161.72	$178.69	$217.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.43 / $232.39 / $338.19	Professional		$175.43	$232.39	$338.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $323.70	Professional		$32.34	$32.34	$323.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $232.39 / $338.19	Professional		$178.76	$232.39	$338.19
United Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $269.50 / $371.22	Professional		$202.70	$269.50	$371.22