Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $223.87	Professional		$112.20	$144.54	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $3,715.35	Facility		$1,047.13	$2,238.72	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $269.15	Professional		$169.82	$229.09	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $426.58	Professional		$134.90	$134.90	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $630.96	Professional		$331.13	$416.87	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $213.80 / $338.84	Facility		$81.28	$213.80	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $363.08	Professional		$134.90	$134.90	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $338.84	Facility		$95.50	$138.04	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $186.21	Professional		$112.20	$125.89	$186.21