Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $501.19	Facility		$190.55	$269.15	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $239.88	Professional		$173.78	$173.78	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $524.81 / $870.96	Facility		$245.47	$524.81	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $251.19	Professional		$141.25	$141.25	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $251.19	Facility		$173.78	$208.93	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $251.19	Professional		$165.96	$173.78	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $245.47	Facility		$97.72	$173.78	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $186.21	Professional		$165.96	$173.78	$186.21