Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.94 / $285.94 / $285.94	Facility		$285.94	$285.94	$285.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $185.31 / $254.45	Professional		$183.48	$185.31	$254.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.57 / $745.77 / $1,215.23	Facility		$293.57	$745.77	$1,215.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $165.45 / $266.04	Professional		$165.45	$165.45	$266.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $183.48 / $225.06	Facility		$181.09	$183.48	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $183.48	Professional		$183.48	$183.48	$183.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.92 / $204.88 / $298.38	Professional		$198.92	$204.88	$298.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.53 / $183.48 / $233.02	Facility		$171.53	$183.48	$233.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $225.06	Professional		$183.48	$183.48	$225.06
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $194.49	Professional		$183.48	$183.48	$194.49