Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.14 / $308.14 / $204,871.38	Facility		$308.14	$308.14	$204,871.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $199.81 / $251.25	Professional		$197.83	$199.81	$251.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.73 / $1,066.27 / $1,737.47	Facility		$419.73	$1,066.27	$1,737.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $180.34 / $314.66	Professional		$180.34	$180.34	$314.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $197.83 / $197.83	Facility		$194.08	$197.83	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $261.71 / $339.25	Professional		$193.86	$261.71	$339.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $197.83 / $251.25	Facility		$197.83	$197.83	$251.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $242.33	Professional		$197.83	$197.83	$242.33
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $209.70	Professional		$197.83	$197.83	$209.70