Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $724.44	Facility		$229.09	$323.59	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $269.15	Professional		$208.93	$208.93	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $933.25 / $1,513.56	Facility		$426.58	$933.25	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $331.13	Professional		$186.21	$186.21	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $309.03	Facility		$208.93	$257.04	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $436.52	Professional		$204.17	$269.15	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $346.74	Facility		$208.93	$218.78	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Professional		$213.80	$213.80	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $223.87	Professional		$204.17	$208.93	$223.87