Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $295.12	Professional		$138.04	$190.55	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,905.46 / $3,162.28	Facility		$891.25	$1,905.46	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $338.84	Professional		$181.97	$223.87	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $524.81	Professional		$144.54	$144.54	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $537.03	Professional		$288.40	$354.81	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $269.15 / $371.54	Facility		$102.33	$269.15	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $416.87	Professional		$144.54	$144.54	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $426.58	Facility		$123.03	$173.78	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $239.88	Professional		$144.54	$158.49	$239.88