Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $152.31 / $152.31	Facility		$114.54	$152.31	$152.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $127.24 / $423.00	Professional		$114.54	$127.24	$423.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.61 / $962.83 / $1,586.99	Facility		$265.61	$962.83	$1,586.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $134.46 / $181.52	Professional		$134.46	$134.46	$181.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Facility		$114.54	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $180.34 / $180.34	Professional		$180.34	$180.34	$180.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $172.20 / $221.64	Facility		$114.54	$172.20	$221.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54