Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $492.12 / $596.22	Facility		$149.06	$492.12	$596.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $238.49 / $989.73	Professional		$149.06	$238.49	$989.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.17 / $1,557.98 / $2,671.81	Facility		$447.17	$1,557.98	$2,671.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.93 / $162.57 / $186.82	Professional		$121.93	$162.57	$186.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $129.18 / $129.18	Facility		$129.18	$129.18	$129.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $207.38 / $259.22	Professional		$60.16	$207.38	$259.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $298.11 / $298.11	Professional		$109.31	$298.11	$298.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $129.18 / $166.03	Facility		$129.18	$129.18	$166.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $136.13 / $198.74	Professional		$60.16	$136.13	$198.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $119.24	Professional		$69.73	$69.73	$119.24