Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $320.02 / $320.02	Facility		$204.61	$320.02	$320.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $206.65 / $401.80	Professional		$204.61	$206.65	$401.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.81 / $1,073.56 / $1,803.34	Facility		$301.81	$1,073.56	$1,803.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.84 / $199.84 / $242.07	Professional		$199.84	$199.84	$242.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $204.61 / $204.61	Facility		$200.06	$204.61	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $200.06 / $204.61	Professional		$200.06	$200.06	$204.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $239.97 / $359.95	Professional		$205.24	$239.97	$359.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $204.61 / $214.84	Facility		$195.89	$204.61	$214.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $200.06 / $204.61	Professional		$200.06	$200.06	$204.61
United Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61