Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.19 / $370.38 / $740.76	Facility		$185.19	$370.38	$740.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $182.94 / $495.64	Professional		$176.89	$182.94	$495.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $1,935.68 / $3,319.53	Facility		$555.57	$1,935.68	$3,319.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $201.98 / $232.10	Professional		$131.29	$201.98	$232.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $160.50 / $160.50	Facility		$160.50	$160.50	$160.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $257.63 / $322.02	Professional		$60.16	$257.63	$322.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $370.38 / $370.38	Professional		$135.81	$370.38	$370.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $160.50 / $215.23	Facility		$160.50	$160.50	$215.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $176.49 / $246.92	Professional		$60.16	$176.49	$246.92
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $90.40 / $148.15	Professional		$90.40	$90.40	$148.15