Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $363.08 / $812.83	Facility		$251.19	$363.08	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $363.08	Professional		$234.42	$234.42	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $20,417.38 / $34,673.69	Facility		$5,754.40	$20,417.38	$34,673.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $316.23 / $758.58	Facility		$234.42	$316.23	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $239.88	Professional		$234.42	$234.42	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $446.68	Professional		$257.04	$281.84	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $1,000.00	Facility		$177.83	$234.42	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $316.23	Professional		$239.88	$239.88	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $245.47	Professional		$144.54	$234.42	$245.47