Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $478.63	Facility		$147.91	$213.80	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $190.55	Professional		$134.90	$138.04	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $707.95 / $1,202.26	Facility		$331.13	$707.95	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $199.53	Professional		$117.49	$117.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $165.96 / $199.53	Facility		$138.04	$165.96	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $288.40	Professional		$131.83	$151.36	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $229.09	Facility		$138.04	$141.25	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Professional		$138.04	$138.04	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $144.54	Professional		$131.83	$138.04	$144.54