Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $151.75 / $151.75	Facility		$151.75	$151.75	$151.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.06 / $185.87 / $1,190.56	Professional		$165.06	$185.87	$1,190.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.75 / $1,521.14 / $2,692.94	Facility		$448.75	$1,521.14	$2,692.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $247.22 / $294.57	Professional		$185.42	$247.22	$294.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $216.42	Facility		$216.42	$216.42	$216.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $216.42	Professional		$157.99	$216.42	$216.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.58 / $309.48 / $464.22	Professional		$247.58	$309.48	$464.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $99.68 / $232.58	Facility		$99.68	$99.68	$232.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $362.66	Professional		$157.99	$216.42	$362.66
United Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $153.02 / $154.40	Facility		$118.96	$153.02	$154.40
United Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $154.40 / $232.58	Professional		$140.19	$154.40	$232.58