Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $524.81	Facility		$199.53	$281.84	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $251.19	Professional		$181.97	$186.21	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $977.24 / $1,513.56	Facility		$426.58	$977.24	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $354.81	Facility		$177.83	$204.17	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $181.97	Professional		$173.78	$181.97	$181.97