Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.96 / $199.96 / $199.96	Facility		$199.96	$199.96	$199.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $307.08 / $1,185.01	Professional		$199.96	$307.08	$1,185.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.30 / $2,004.39 / $3,548.47	Facility		$591.30	$2,004.39	$3,548.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $325.76 / $388.15	Professional		$244.32	$325.76	$388.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.11 / $246.11 / $246.11	Facility		$246.11	$246.11	$246.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.10 / $246.11	Professional		$179.66	$246.10	$246.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.24 / $407.80 / $611.70	Professional		$326.24	$407.80	$611.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $126.85 / $306.45	Facility		$126.85	$126.85	$306.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $246.11 / $528.54	Professional		$179.66	$246.11	$528.54
United Facility/Professional Professional Modifier Low / Median / High Price $178.41 / $196.49 / $295.98	Professional		$178.41	$196.49	$295.98